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WENDY MICHELLE BALLENGER DO NPI 1710111372


NPI Information

NPI: 1710111372
Provider Name: WENDY MICHELLE BALLENGER, DO
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7148 KERR STREET PLACE
SUITE 110
OLIVE BRANCH, MS
ZIP 38654
Phone: (662) 222-6724
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Wendy Michelle Ballenger, DO is a pediatrics in Olive Branch, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Wendy Michelle Ballenger, DO NPI is 1710111372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7148 KERR STREET PLACE
SUITE 110
OLIVE BRANCH, MS
ZIP 38654-865
Phone: (662) 222-6724
Fax: (901) 350-5024

The NPI 1710111372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2009 and was last updated on 2/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineR2208KENTUCKYNo
2207R00000XInternal MedicineMS25393MISSISSIPPINo
3208000000XPediatricsMS29353MISSISSIPPINo
4208000000XPediatricsR2208KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.