Ball Outpatient Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BALL OUTPATIENT SURGERY CENTER, LLC

Doing business as

Ball Outpatient Surgery Center

Practice address

2401 W University Ave
Muncie, IN 47303-3428

Phone

(765) 751-5227

Fax

(765) 741-2873

NPI assigned

Jun 19, 2009

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Schaefer

Title

Manager - Ambulatory Services

Phone

(765) 751-5227

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ball Outpatient Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Ball Outpatient Surgery Center LLCCCN 15C0001166

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Indiana University Health Ball Memorial Hospital Inc

  dba IU Health Family Pharmacy

  • Community/Retail Pharmacy
  • Muncie, IN
  • NPI 1457455404

  Member Of

  NPD member
• Indiana University Health Ball Memorial Physicians, Inc.

  dba IU Health Ball Memorial Physicians

  • Developmental - Behavioral Pediatrics Physician
  • Muncie, IN
  • NPI 1679893580

  Member Of

  NPD member
• Indiana University Health, Inc

  dba Indiana University Health Sleep Apnea Education Center at Indianapolis

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1992947881

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1871720540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-751-5227",
            "fax_number": "765-741-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-751-5227",
            "fax_number": "765-741-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALL OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGER - AMBULATORY SERVICES",
        "authorized_official_telephone_number": "765-751-5227"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200967880A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZN0930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ball Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R Baldwin, M.D.
• Jordan Baldwin, RBT
• Nicholas Bales
• Ball Memorial Hospital
• Ball Memorial Hospital, Inc.
• Ball State Healthcenter Pharmacy
• Ball State University (Interprofessional Community Clinics)
• Ball State University (Ball State Sports Medicine)
• Carrie Ball, PH.D.
• Catherine C Ballard, LMHC

• Ambulatory Surgical Clinic/Center in Muncie, IN
• Providers in Muncie, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.