MR. KEITH E. BALLINGER (NPI# 1114934759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114934759 |
| Entity Type | Individual |
| Full Name | MR. KEITH E. BALLINGER |
| Credential | PA C |
| Practice Address |
211 S Walnut St Arthur IL 61911-1269 |
| Mailing Address |
1005 Health Center Dr Ste 201 Mattoon IL 61938-4693 |
| Practice Telephone | 2175433444 |
| Practice Fax Number | 2175433751 |
| Mailing Telephone | 2172386055 |
| Mailing Fax Number | 2175433751 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085001872 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
211 S WALNUT ST |
| City | ARTHUR |
| State | IL |
| Zip Code | 61911-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881712438 | Sarah Bush Lincoln Health Center | Family Medicine | 211 S Walnut St, Arthur, IL 61911-1269 | 2007-03-26 |
| 1861508160 | Patrick Hartman | Family Medicine | 211 S Walnut St, Arthur, IL 61911-1269 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508301706 | Southern Illinois Health Care Foundation, Inc. | Counselor | 1710 State Route 133, Arthur, IL 61911 | 2016-12-23 |
| 1568522605 | James E Winfield | Dentist | 318 South Ash, Arthur, IL 61911 | 2006-12-11 |
| 1356999262 | Shawna L Storm | Nurse Practitioner | 1710 State Route 133, Arthur, IL 61911 | 2019-09-04 |
| 1720164502 | Michael George Elder | Chiropractor | 426 North Vine Street, Arthur, IL 61911-1121 | 2006-10-27 |
| 1336664705 | Kelli D Canada | Social Worker | 525 N Vine St, Arthur, IL 61911-1130 | 2017-08-07 |
| 1134660590 | Kendra Zerrusen | Nurse Practitioner | 525 N Vine St, Arthur, IL 61911-1130 | 2017-03-17 |
| 1720419336 | Brittany Faris | Physician Assistant | 525 N Vine St, Arthur, IL 61911-1130 | 2013-12-06 |
| 1164418067 | William H Shackelford Md | Family Medicine | 525 N Vine St, Arthur, IL 61911-1137 | 2005-09-26 |
| 1467445130 | William Howard Shackelford | Family Medicine | 525 N Vine St, Arthur, IL 61911-1137 | 2005-08-26 |
| 1407833130 | Charles R Ellington | Family Medicine | 650 W Columbia St, Arthur, IL 61911-1214 | 2005-12-23 |
| Find all providers in zip 61911 | ||||
| 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 |
|---|---|---|---|---|
| 1720419336 | Brittany Faris | Physician Assistant | 525 N Vine St, Arthur, IL 61911-1130 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.