DR. KATHRYN T BALLARD (NPI# 1285604504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285604504 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN T BALLARD |
| Credential | M.D. |
| Practice Address |
1090 Commerce Dr Prescott AZ 86305 |
| Mailing Address |
1471 Marvin Gardens Ln Prescott AZ 86301-5520 |
| Practice Telephone | 9285831000 |
| Practice Fax Number | 8663238458 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 18608 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 295403 | 05 |
| Street Address |
1090 COMMERCE DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516589 | David Andrew Green | Pediatrics | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2005-05-30 |
| 1669036901 | Loleita Leanora Green-reid | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2019-04-23 |
| 1215455886 | Madison Smith | Physician Assistant | 1090 Commerce Dr, Prescott, AZ 86305 | 2017-09-05 |
| 1255854246 | Spencer Claussen | Registered Nurse | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-07-21 |
| 1902326937 | Fiona Henderson-power | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-06-21 |
| 1447786157 | Joseph Donaldson | Psychologist | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-05-02 |
| 1841678943 | Mirandine Fitchette | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2015-05-11 |
| 1689097792 | Diane Barrera | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2014-01-24 |
| 1053663054 | Lois Karleen Acosta | Lactation Consultant, Non-RN | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2012-10-15 |
| 1306168356 | Cristal C Barko | Social Worker | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2010-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225212905 | Arizona Adult and Pediatric Medicine PC | Pediatrics | 743 Miller Valley Road, Prescott, AZ 86301-1813 | 2007-12-18 |
| 1336118926 | James M Mick | Pediatrics | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2006-03-16 |
| 1073516589 | David Andrew Green | Pediatrics | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2005-05-30 |
| 1790053049 | Kathryn T Ballard Md | Pediatrics | 811 Ainsworth Dr Ste 106, Prescott, AZ 86301-1687 | 2011-12-01 |
| 1639457245 | Jennifer Evans Tidroski | Pediatrics | 2120 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2011-07-31 |
| 1265766984 | Ronael Eckman | Pediatrics | 2120 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2009-09-29 |
| 1124243688 | Ponderosa Pediatricss Plc | Pediatrics | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2007-04-17 |
| 1861548679 | Lourdes R Jacobo | Pediatrics | 2120 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2007-01-26 |
| 1881653558 | Matthew J Hinton | Pediatrics | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1629614466 | Kayla Leanne Cantu | Pediatrics | 15264 W Brookside Ln Ste 155, Surprise, AZ 85374-3997 | 2019-11-26 |
| 1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
| 1780146829 | Jb Healthcare LLC | Pediatrics | 10575 W Indian School Rd Ste 103, Avondale, AZ 85392-5651 | 2019-04-05 |
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
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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.