Kevin Sean Ballard, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147.000916 Issued in IL

Practice address

731 Maine St
Quincy, IL 62301-4012

Phone

(217) 223-0204

Fax

(217) 223-0274

NPI assigned

Jan 31, 2008

Last updated

May 7, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quincy Audiology LLCGroup PAC ID 5799939534, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Quincy Audiology, LLC

  • Audiologist
  • Quincy, IL
  • NPI 1790043982
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1942488069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014012",
            "telephone_number": "217-223-0204",
            "fax_number": "217-223-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014012",
            "telephone_number": "217-223-0204",
            "fax_number": "217-223-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "KEVIN",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.000916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Baker
• Erin M Baker, L.C.S.W.
• Arppana Balagangatharan, M.D.
• Liberty Ann Balbort, MD, MPH
• Riley Bale, BA, MHP
• Brian T Bamer, M.D.
• Brian Bangert
• John T Barbagiovanni, DO
• Bonnie Lou Barber, RN
• Jacinda Kay Barnes

• Audiologist in Quincy, IL
• Providers in Quincy, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.