David Jay Ballingham, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

357006-3102 Issued in UT

Practice address

811 N Harrisville Rd
Harrisville, UT 84404-3537

Phone

(801) 399-1818

Fax

(801) 782-8412

NPI assigned

Apr 23, 2007

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Male

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 UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aloha Behavioral Consultants, Inc.Group PAC ID 2961501804, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Aloha Behavioral Consultants, Inc.

  • Clinical Social Worker
  • Harrisville, UT
  • NPI 1952432635
  Medicare reassignment Care Compare group
• Aloha Medical Services, LLC

  • Multi-Specialty Clinic/Center
  • Harrisville, UT
  • NPI 1255956967
  NPD
• Marion General Hospital Foundation, Inc.

  dba Marion General Hospital Foundation, Inc./Marion General Hospital

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1134114077
  NPD (past)
• Marion Physician Billing LLC

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1013247568
  NPD (past)
• Marysville Emergency Physicians Inc.

  • Emergency Medicine Physician
  • Marysville, OH
  • NPI 1649271594
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1821216722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W. BERRY BLOSSOM LN",
            "city": "GARDEN CITY",
            "state": "UT",
            "postal_code": "84028",
            "telephone_number": "439-946-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N HARRISVILLE RD",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844043537",
            "telephone_number": "801-399-1818",
            "fax_number": "801-782-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGHAM",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "357006-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aloha Medical Services, LLC
• Marcia Andersen
• Nancy Andersen
• Krishaan G Anderson, O.D.
• Melissa Burton Anderson
• Hilda Barbosa
• Savannah Basnet
• Cami Berger, LCSW
• Dustin Blakeley
• Terrance Boharsik

• Physician Assistant in Harrisville, UT
• Providers in Harrisville, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.