Manuel W Ballas, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1576 Issued in WV

Practice address

200 Luray Dr
Wintersville, OH 43953-3973

Phone

(740) 314-8258

Fax

(304) 723-2195

NPI assigned

Sep 22, 2005

Last updated

Jun 17, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Obhg West Virginia Corp

  • Obstetrics & Gynecology Physician
  • Martinsburg, WV
  • NPI 1972290666
  NPD
• Change Incorporated

  dba Family Medical Care

  • Federally Qualified Health Center (FQHC)
  • Newell, WV
  • NPI 1174074686
  NPD (past)
• Weirton Medical Center Inc

  • Internal Medicine Physician
  • Weirton, WV
  • NPI 1144423864

  Obstetrics & Gynecology

  NPD (past)
• Weirton Medical Center Inc

  • Home Health Agency
  • Weirton, WV
  • NPI 1922009505
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1891781084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 WEST ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624637",
            "telephone_number": "304-797-7733",
            "fax_number": "304-797-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LURAY DR",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533973",
            "telephone_number": "740-314-8258",
            "fax_number": "304-723-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAS",
        "first_name": "MANUEL",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "1576",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.006103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A T Tamboli MD Allergy Lab (A T Tamboli MD Inc)
• Acjj Investments LLC (Value Leader Long Term Care Pharmacy)
• Acjj Investments LLC (Value Leader Pharmacy)
• Addus Healthcare (South Carolina), Inc. (Addus HomeCare)
• Virginia Ruth Arbogast, ATC
• Ranjan Prakash Bhandari, MD
• Lindsay Blake, PMHNP
• Cameron Lamont Bonds
• Jodi Lynn Bonomo, COTA
• Melissa Ann Booth

• Obstetrics & Gynecology Physician in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.