Active NPI
Patrick E Ballard, DO
- Family Medicine Physician
- Craig, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7047
- Practice address
- 1800 Craig-Klawock Rd
Craig, AK 99921-0000 - Phone
- (907) 826-3257
- NPI assigned
- Sep 25, 2008
- Last updated
- Dec 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4962 | AK | |
| Family Medicine Physician | 207Q00000X | 7047 | AK | Primary |
Addresses
Primary practice location
1800 Craig-Klawock Rd
Craig, AK 99921-0000
Mailing address
PO Box 805
Craig, AK 99921-0805
Phone (907) 826-3257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NM, OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Sudderth Dr
Ruidoso, NM 88345-6002
Phone (575) 630-4233
42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 359-1800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 68.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4962 | AK | MD | Family Medicine Physician |
| 7047 | AK | MD | Family Medicine Physician |
Practice roles
Locations
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900
936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600
500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- patrickballard@rghnm.medalliesdirect.net
- pballard@yourcarecommunity.org
- pballard148759@direct.phs.org
Organizations & group practices 16
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- Emergency Medicine Physician
- Grants, NM
- NPI 1770047441
-
- Emergency Medicine Physician
- Lake Havasu City, AZ
- NPI 1134439706
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maricopa, AZ
- NPI 1447910229
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bullhead City, AZ
- NPI 1518732023
-
- Emergency Medicine Physician
- Eloy, AZ
- NPI 1760203855
-
- Emergency Medical Services (Emergency Medicine) Physician
- Prescott, AZ
- NPI 1720807670
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1235857699
-
dba MountainView Regional Medical Center
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
dba Access Care
- Family Medicine Physician
- Huntington, WV
- NPI 1962433177
OH
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lincoln County Medical Center
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
dba Plains Regional Medical Center
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1982854980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 805",
"city": "CRAIG",
"state": "AK",
"postal_code": "999210805",
"telephone_number": "907-826-3257",
"fax_number": "907-826-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CRAIG-KLAWOCK RD",
"city": "CRAIG",
"state": "AK",
"postal_code": "999210000",
"telephone_number": "907-826-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "PATRICK",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "4962",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "7047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Craig, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.
- 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.