Mary Michelle Ballard, M.S. CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

340 Issued in OK

Practice address

5020 E 68TH St
Tulsa, OK 74136-3307

Phone

(918) 492-3636

Fax

(918) 494-8915

NPI assigned

Nov 7, 2017

Last updated

Nov 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Oklahoma Ear Nose and Throat IncGroup PAC ID 6507851482, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.88 of 100Reported as group

Quality

88.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Oklahoma Ear, Nose & Throat Inc

  • Sleep Medicine (Otolaryngology) Physician
  • Tulsa, OK
  • NPI 1205052149
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1790298115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OK",
            "license": "340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wayne Ballard, OTR
• Grace Ballard, MSW, LADC, LCSW
• Judy E Ballard, S.L.P.
• La Dena Ann Ballard, PA
• Margaretta Ballard, MHR
• Stephen Notfound Ballard Sr.
• Sterling Kortez Ballard
• Dawn Marie Ballew, APRN
• Grace Ballew, RD, LD
• Laura Renee Ballew

• Audiologist-Hearing Aid Fitter in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Audiologist-Hearing Aid Fitter in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.