JUSTIN B BALLARD (NPI# 1013283324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013283324 |
| Entity Type | Individual |
| Full Name | JUSTIN B BALLARD |
| Credential | PA-C |
| Practice Address |
3347 S State Road 7 Ste 101 Wellington FL 33449-8148 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 5617902111 |
| Practice Fax Number | 5612960436 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2017-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106475 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3347 State Road 7, Suite 101, Wellington, FL 334498095 | 5617902111 | 5617900893 |
| Street Address |
3347 S STATE ROAD 7 STE 101 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104804210 | Samuel Cyril Jr. | Physician Assistant | 3347 S State Road 7 Ste 101, Wellington, FL 33449-8148 | 2006-01-09 |
| 1417252941 | Nabiha Verfaillie | Physician Assistant | 3347 S State Road 7 Ste 101, Wellington, FL 33449-8148 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942846324 | Erica Marie Garcia | Physician Assistant | 13302 La Mirada Cir, Wellington, FL 33414-3960 | 2019-11-21 |
| 1497240386 | Jessica Lynn Zalutko | Physician Assistant | 3319 S State Road 7 Ste 202, Wellington, FL 33449-8146 | 2018-06-25 |
| 1710486915 | Catherine Woolwine | Physician Assistant | 15903 Cypress Park Dr, Wellington, FL 33414-6348 | 2018-02-03 |
| 1730690991 | Ariel Le | Physician Assistant | 10115 Forest Hill Blvd Ste 4045, Wellington, FL 33414-3105 | 2017-10-16 |
| 1609385046 | Megan Ginter | Physician Assistant | 3319 S State Road 7 Ste 313, Wellington, FL 33449-8147 | 2017-09-28 |
| 1396020426 | Victoria Vanacore | Physician Assistant | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2011-10-20 |
| 1376848457 | Carrie Ann Davila | Physician Assistant | 1397 Medical Park Blvd Ste 220, Wellington, FL 33414-3187 | 2011-01-20 |
| 1780739128 | Lori Driscoll | Physician Assistant | 13421 S Shore Blvd Ste 101, Wellington, FL 33414-7210 | 2007-01-24 |
| 1588746275 | Jean Carmin Bonnet | Physician Assistant | 8950 Alexandra Cir, Wellington, FL 33414-6438 | 2006-10-20 |
| 1104804210 | Samuel Cyril Jr. | Physician Assistant | 3347 S State Road 7 Ste 101, Wellington, FL 33449-8148 | 2006-01-09 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
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| 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.