DR. CHRISTOPHER J BALLARD (NPI# 1164679668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164679668 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER J BALLARD |
| Credential | MD |
| Practice Address |
11200 Seminole Blvd Ste 205 Largo FL 33778-3240 |
| Mailing Address |
4651 Van Dyke Rd Lutz FL 33558-4880 |
| Practice Telephone | 8133211786 |
| Practice Fax Number | 8133211787 |
| Mailing Telephone | 8133211786 |
| Mailing Fax Number | 8133211786 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME109317 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FLORIDA | 14FN0 | 01 |
| FL | CIGNA | 7724400 | 01 |
| FL | AETNA | 9836728 | 01 |
| FL | RAILROAD MEDICARE | P00977190 | 01 |
| FL | 003995300 | 05 | |
| FL | CAREPLUS | 1086695 | 01 |
| FL | AVMED | 349086 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428165 | Christopher W Ballard | Family Medicine | 213 Nw 10th Street, Suite A, Fairfield, IL 62837 | 2005-06-23 |
| 1184232597 | Christopher N Ballard | Behavior Technician | 4910 Airport Ave Ste F, Rosenberg, TX 77471-5759 | 2020-07-22 |
| 1407464050 | Christopher Wayne Ballard | Occupational Therapist | 7345 S 99th East Ave, Tulsa, OK 74133-1001 | 2020-07-20 |
| Street Address |
11200 SEMINOLE BLVD STE 205 |
| City | LARGO |
| State | FL |
| Zip Code | 33778-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571775 | Patricia Ann Mitchell | Hearing Instrument Specialist | Florida Medical Hearing Center, 10825 102nd Avenue North-ste 312, Seminole, FL 33778 | 2019-04-10 |
| 1376037432 | Fresh Start Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 11561 Walsingham Rd Ste C, Largo, FL 33778 | 2018-06-21 |
| 1275059685 | Sharetta Lanor Ingram-patterson | Counselor | 11365 111th Avenue, Largo, FL 33778 | 2017-08-17 |
| 1598215444 | Keri Crotty | Counselor | 11963 105th Avenue, Largo, FL 33778 | 2016-10-04 |
| 1972961274 | Yudith Liriano Gonzalez | Registered Nurse | 12150 Seminole Blvd Ste 111, Largo, FL 33778 | 2016-02-02 |
| 1528347309 | Kenneth Eran Rosher | Assisted Living Facility | 1617 Madrid Drive, Largo, FL 33778 | 2011-08-10 |
| 1609987817 | Jennifer Roco Paulmino Dds Prof Dental Pa | Dentist | 10333 Seminole Blvd Ste 7, Largo, FL 33778 | 2006-08-31 |
| 1871533893 | Kenneth Tsu-ching Yen | Internal Medicine | 11200 Seminole Blvd Ste 306, Largo, FL 33778 | 2006-06-07 |
| 1447251061 | Mayra L Lorenzo | Family Medicine | 12150 Seminole Blvd, Largo, FL 33778 | 2005-08-04 |
| 1841706926 | 1 Care LLC | Respite Care | 12945 Seminole Blvd, Suite 12, Largo, FL 33778 | 2017-12-27 |
| Find all providers in zip 33778 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1770726499 | Whitney Lapolla Delozier | Dermatology | 8787 Bryan Dairy Rd Ste 360, Largo, FL 33777-1260 | 2009-04-10 |
| 1912143603 | Preventative Wound Care Associates LLC | Dermatology | 9956 Sago Point Dr, Largo, FL 33777-4913 | 2008-12-30 |
| 1972596690 | Barbara Christine Williamson | Dermatology | 1400 Mercantile Ln, Ste#110, Largo, MD 20774-5341 | 2005-08-28 |
| 1750895140 | Christina Michelle Baden | Dermatology | 8250 Bryan Dairy Rd Ste 250, Largo, FL 33777-1360 | 2017-11-22 |
| 1528416633 | Erin Lowe | Dermatology | 201 14th St Sw, Largo, FL 33770-3133 | 2016-05-31 |
| 1326496522 | Katherine Weber Braunlich | Dermatology | 201 14th St Sw, Largo, FL 33770-3133 | 2016-05-27 |
| 1568807238 | Dawnielle Endly | Dermatology | 201 14th St Sw, Largo, FL 33770-3133 | 2013-05-07 |
| 1669716395 | Visage Dermatology and Aesthetic Center, LLC | Dermatology | 1400 Mercantile Ln, Suite 110, Largo, MD 20774-5341 | 2012-11-19 |
| 1841555398 | Carolyn Ellis | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-11 |
| Find all providers in LARGO | ||||
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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.