Terrance Ballard MD PC, Dba Welltrac

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

7062 Issued in NV

Legal business name

TERRANCE BALLARD MD PC, DBA WELLTRAC

Practice address

2510 Wigwam Pkwy Ste 109
Henderson, NV 89074-7115

Phone

(702) 266-8180

Fax

(702) 558-8275

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Sarah Pauline Waghorn

Title

Executive Director

Phone

(702) 266-8180

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrance L Ballard, M.D.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1609985415
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1831670603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY STE 109",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747115",
            "telephone_number": "702-266-8180",
            "fax_number": "702-558-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY STE 109",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747115",
            "telephone_number": "702-266-8180",
            "fax_number": "702-558-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRANCE BALLARD MD PC, DBA WELLTRAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "WAGHORN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-266-8180"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sounita Teng
• Patricia Tengco Quezada
• Rachel Tennis, PA-C
• Jordan Tennyson
• Danette Nalanie Teran, PTA
• Terrance Kwiatkowski, Professional Corporation (Southwest Ear & Sinus Center)
• Tammy M Terrault, PHARMD
• Lilia B. Terrazas
• Terrie X Tran DDS PC
• Hannah Irene Terry, PHARMD

• Health Service Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Health Service Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.