MATTHEW T. BALLO


Address: 100 N Humphreys Blvd, Memphis, TN 38120-2146
Phone: 9016830055

MATTHEW T. BALLO (NPI# 1013017094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013017094
Entity Type Individual
Full Name MATTHEW T. BALLO
Credential M.D.
Practice Address 100 N Humphreys Blvd
Memphis
TN 38120-2146
Practice Telephone 9016830055
Practice Fax Number 9016852969
Mailing Telephone 9016830055
Mailing Fax Number 9016852969
Enumeration Date 2006-09-22
Last Update Date 2013-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
50791 TN Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
L0014 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 45529701 05

Office Location

Street Address 100 N HUMPHREYS BLVD
City MEMPHIS
State TN
Zip Code 38120-2146

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659375392 Stephen A Besh Internal Medicine 100 N Humphreys Blvd, Memphis, TN 38120-2146 2005-06-10
1548889009 Danielle Rose Haba Physical Therapist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2020-04-14
1255950705 Jennifer Jacobson Occupational Therapist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2020-04-14
1083233621 Janet Grillis Clinic/Center 100 N Humphreys Blvd, Memphis, TN 38120-2146 2020-04-14
1679192207 Morgan Henry Occupational Therapist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2020-04-14
1417576083 Ashland Shalon Johnson Speech-Language Pathologist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2020-04-13
1134748700 Lakesha Churn Occupational Therapist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2020-04-13
1164041745 Barbara Lynn Spence Occupational Therapist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2020-04-13
1578114799 Sonia Waites Physical Therapist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2019-09-28
1700362456 Katelyn Gayle Tansey Occupational Therapist 100 N Humphreys Blvd, Memphis, TN 38120-2146 2018-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093285637 Cobblestone Midwifery Midwife 5617 Ashley Square South, Memphis, TN 38120 2018-11-27
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801071451 West Clinic, PC Radiology 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 2008-01-02
1518960392 Thomas E Merchant Radiology 262 Danny Thomas Pl # Ms 0515, Memphis, TN 38105-3678 2005-05-24
1942627559 West Clinic, P.C. Radiology 1265 Union Ave, Thomas Basement, Memphis, TN 38104-3415 2014-03-20
1144573999 Mid-south Medical Professionals, P.a. Radiology 6019 Walnut Grove Rd, Memphis, TN 38120-2113 2012-10-17
1639436603 Sahaja Acharya Radiology 262 Danny Thomas Pl, Memphis, TN 38105-3678 2012-04-16
1902127269 John Thomas Lucas Radiology 262 Danny Thomas Pl, Memphis, TN 38105 2010-06-21
1366769069 Christopher Lon Tinkle Radiology 262 Danny Thomas Pl, Memphis, TN 38105-3678 2010-04-21
1396941449 Angela H Wortham Radiology 6019 Walnut Grove Road, Memphis, TN 38120 2007-06-25
1932322989 David Perry Roberge Radiology 332 N Lauderdale St, Memphis, TN 38105-2729 2007-04-10
1073616504 Jea Youl Lee Radiology 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 2006-09-07
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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