James L Ballard, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238000003 Issued in IL

Practice address

1231 Brophy Avenue
Park Ridge, IL 60068-5225

Phone

(847) 698-2154

Fax

(847) 698-0954

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1821140583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 S BROPHY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685225",
            "telephone_number": "847-698-2154",
            "fax_number": "847-698-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 BROPHY AVENUE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685225",
            "telephone_number": "847-698-2154",
            "fax_number": "847-698-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Baker
• Todd Abram Baker, M.D.
• Sanjeev Balamohan, M.D.
• Geralyn Marie Balazs, N.C.T.M.B., L.M.T.
• Devesh Sanjeev Ballal
• Jonathan Hartley Ballard, MD
• Alfonso Allan M Balleza II
• Steve Ballis, D.D.S.
• Susan Ballis
• Tsogtbayar Baltseren

• Surgical Physician Assistant in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.