Organization Active NPI

Ballard Neighborhood Doctors PLLC

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1912184680
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BALLARD NEIGHBORHOOD DOCTORS PLLC
Practice address
5416 Barnes Ave NW
Seattle, WA 98107-3839
Phone
(206) 297-7678
Fax
(206) 297-5930
NPI assigned
Jan 24, 2008
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Paula Hardy
Title
Office Manager
Phone
(206) 297-7678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5416 Barnes Ave NW
Seattle, WA 98107-3839

Mailing address

5416 Barnes Ave NW
Seattle, WA 98107-3839
Phone (206) 297-7678

Other identifiers 1

IdentifierTypeStateIssuer
0244819MedicaidWA

National Provider Directory

National Provider Directory

Locations

5416 Barnes Ave NW
Seattle, WA 98107
Phone (206) 297-7678

7701 15th Ave NW
Seattle, WA 98117
Phone (206) 297-7678

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1912184680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 BARNES AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-297-7678",
            "fax_number": "206-297-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 BARNES AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-297-7678",
            "fax_number": "206-297-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD NEIGHBORHOOD DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-297-7678"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244819",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.