GARY BALLARD MD NPI 1902826860

NPI Information

NPI: 1902826860
Provider Name: GARY BALLARD, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2740 W LAKE MENDOCINO DR
UKIAH, CA
ZIP 95482
Phone: (707) 462-9028
Get Directions

Gary Ballard, MD is a diagnostic radiology radiology in Ukiah, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gary Ballard, MD NPI is 1902826860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2740 W LAKE MENDOCINO DR
UKIAH, CA
ZIP 95482-044
Phone: (707) 462-9028

The enumeration date for this NPI number is 7/20/2006 and was last updated on 6/6/2011.

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
1	2085R0202X	Radiology	Diagnostic Radiology	DR-14824	COLORADO	No
2	2085R0202X	Radiology	Diagnostic Radiology	G26847	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	53838068	MEDICAID	COLORADO
2	COA105252	MEDICARE PIN	COLORADO
3	A43113	MEDICARE UPIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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