Active NPI
Ball Medical Clinic Inc
- Internal Medicine Physician
- Bellevue, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34004957
- Legal business name
- BALL MEDICAL CLINIC INC
- Practice address
- 1255 W Main St
Ste a
Bellevue, OH 44811-9015 - Phone
- (419) 483-7240
- Fax
- (419) 483-2543
- NPI assigned
- Aug 23, 2006
- Last updated
- Aug 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin Edward Ball, D.O.
- Title
- Owner/Dr
- Phone
- (419) 483-7240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34004957 | OH | Primary |
Addresses
Primary practice location
1255 W Main St
Ste a
Bellevue, OH 44811-9015
Mailing address
1255 W Main St
Ste a
Bellevue, OH 44811-9015
Phone (419) 483-7240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0824013 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0343842 | Ball Medical Clinic Inc | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Bellevue, OH
- NPI 1083637730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440633600000",
"number": "1841307436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 W MAIN ST",
"address_2": "STE A",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448119015",
"telephone_number": "419-483-7240",
"fax_number": "419-483-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W MAIN ST",
"address_2": "STE A",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448119015",
"telephone_number": "419-483-7240",
"fax_number": "419-483-2543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALL MEDICAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2015-08-27",
"status": "A",
"authorized_official_last_name": "BALL",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/DR",
"authorized_official_telephone_number": "419-483-7240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34004957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0824013",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.