MR. PATRICK JOSEPH BALLINGER SR. (NPI# 1093788259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093788259 |
| Entity Type | Individual |
| Full Name | MR. PATRICK JOSEPH BALLINGER SR. |
| Credential | ATC, LAT |
| Practice Address |
3131 Las Vegas Blvd S Las Vegas NV 89109-1967 |
| Mailing Address |
458 Paulson Dr Las Vegas NV 89123-0161 |
| Practice Telephone | 7027703752 |
| Mailing Telephone | 7028964520 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 0506005 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3131 LAS VEGAS BLVD S |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696901 | Shelby Milburn | Nurse Practitioner | 3131 Las Vegas Blvd S, Las Vegas, NV 89109-1967 | 2020-07-13 |
| 1831162650 | Steve John Mccauley | Specialist/Technologist | 3131 Las Vegas Blvd S, Las Vegas, NV 89109-1967 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901722 | The Nevada Wellness Group LLC | Specialist/Technologist | 9691 Trailwood Dr Ste 104, Las Vegas, NV 89134-6254 | 2020-08-05 |
| 1073136396 | Ronald Johnson | Specialist/Technologist | 6325 Novak St, Las Vegas, NV 89115-1409 | 2020-05-20 |
| 1285185934 | Gina Neeley | Specialist/Technologist | 8942 Spring Peeper Ave, Las Vegas, NV 89148-3856 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830462 | Mervin Kenneth Alexander Jr. | Specialist/Technologist | 6117 Broccoli St, North Las Vegas, NV 89081-6677 | 2019-09-14 |
| 1437423092 | Annette Alberta Scott | Specialist/Technologist | 1865 Avacado Ct, Henderson, NV 89014-3811 | 2012-02-29 |
| 1700356805 | Jasmine Lima Delchambre | Specialist/Technologist | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
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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.