MR. BURLEY WALTER BALL JR. (NPI# 1285240523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285240523 |
Entity Type | Individual |
Full Name | MR. BURLEY WALTER BALL JR. |
Practice Address |
4313 Buckingham Rd Coeburn VA 24230 |
Mailing Address |
Po Box 208 Coeburn VA 24230-0208 |
Practice Telephone | 2763951323 |
Mailing Telephone | 2763951323 |
Enumeration Date | 2020-09-22 |
Last Update Date | 2020-09-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | T64011149 | VA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | T64011149 | 05 |
Street Address |
4313 BUCKINGHAM RD |
City | COEBURN |
State | VA |
Zip Code | 24230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447736152 | Ttgi Corp | Pharmacy | 201 Laurel Ave, Coeburn, VA 24230 | 2018-07-16 |
1922591882 | Joshua Key | Physical Therapist | 118 Mooney Drive, Coeburn, VA 24230 | 2018-06-14 |
1780100024 | Jimmy F Williams Jr. | Driver | 823 Front St E, Coeburn, VA 24230 | 2017-08-18 |
1801175641 | Family Preservation Services, Inc. | Community/Behavioral Health | 115 Litchfield Street, Coeburn, VA 24230 | 2011-08-10 |
1457582041 | Family Preservation Services, Inc | Community/Behavioral Health | 518 Centre Ave Ne, Coeburn, VA 24230 | 2009-07-31 |
1023276854 | Sandy Ridge Volunteer Rescue Squad | Ambulance | 109 Carico Ridge, Coeburn, VA 24230 | 2008-05-29 |
1801089677 | Family Preservation Services | Community/Behavioral Health | 323 School House Hill Drive, Coeburn, VA 24230 | 2007-08-24 |
1043411184 | Community Physicians Services Corporation | Clinic/Center | 485 Front Street, Marty Shopping Center, Coeburn, VA 24230 | 2007-05-29 |
1942322003 | St Charles Health Council Inc | Clinic/Center | 815 4a Laurel Avenue, Coeburn, VA 24230 | 2007-04-06 |
1578603924 | Wise Medical Group | Family Medicine | 203 Front St West, Coeburn, VA 24230 | 2007-02-07 |
Find all providers in zip 24230 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780100024 | Jimmy F Williams Jr. | Driver | 823 Front St E, Coeburn, VA 24230 | 2017-08-18 |
1801312293 | James Hill | Driver | 11614 Powhatan Rd, Coeburn, VA 24230-6610 | 2017-08-17 |
1265958664 | Scott Brooks | Driver | 12122 Driffield St, Coeburn, VA 24230-5949 | 2017-08-17 |
1306361332 | Margaret Ann Ring | Driver | 129 Ring Dr, Coeburn, VA 24230-5827 | 2017-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385375 | David Lee Rosenbaum | Driver | 127 Hemlock St, Marion, VA 24354-4403 | 2020-10-31 |
1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
1992302673 | Rodney Larmont Carter Sr. | Driver | 205 Maple Springs Dr, Axton, VA 24054-2303 | 2020-10-05 |
1487261921 | Chantrise N Ratliff | Driver | 553 Jessica Cir, Newport News, VA 23606-3761 | 2020-09-29 |
1639785918 | Randy Bell | Driver | 6113 W Stonepath Garden Dr, Chester, VA 23831-3730 | 2020-09-22 |
1700498300 | Lisa Foster | Driver | 9562 19th Bay St Apt A, Norfolk, VA 23518-6211 | 2020-08-17 |
1437769213 | Marvin L Harris | Driver | 29 Ridgewood Pkwy, Newport News, VA 23608-1918 | 2020-08-05 |
1003425422 | T'onna Logan Clary | Driver | 18029 Highway Fifty Eight, Boydton, VA 23917-2820 | 2020-07-31 |
1356950059 | Lashon Akie Perry | Driver | 2704 New Park Rd, North Chesterfield, VA 23237-1725 | 2020-07-28 |
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.