Peter G Ballas II MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0046838 Issued in FL

Legal business name

PETER G BALLAS II MD PA

Practice address

1905 Clint Moore Rd
Suite 215
Boca Raton, FL 33496-2658

Phone

(561) 989-9002

Fax

(561) 994-9135

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter G Ballas II, MD PA

Title

President

Phone

(561) 989-9002

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori A Fordham-Bass, ARNP

  • Nurse Practitioner
  • Boca Raton, FL
  • NPI 1659577526
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1992904338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-989-9002",
            "fax_number": "561-994-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-989-9002",
            "fax_number": "561-994-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER G BALLAS II MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "BALLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-989-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0046838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarett Alex Pertnoy
• Richard Allen Peshkin, MD
• Aryeh J Pessah, MD
• Christine Pestana, MD
• Ivo Alexander Pestana, M.D.
• Peter J Recupero DO PA
• Camille Peters, OT/L
• Darian Peters
• Ginger Peterson
• Kathryn Schulz Peterson, M.O.T., OTR/L

• Specialist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.