MR. JEFFREY ADAM BALL (NPI# 1356792360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356792360 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ADAM BALL |
| Credential | PA-C |
| Practice Address |
1244 N Main St Ste 201 Tooele UT 84074-9839 |
| Mailing Address |
779 E 980 N Tooele UT 84074-9488 |
| Practice Telephone | 4358823968 |
| Mailing Telephone | 8018319211 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9614663-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 53532 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15791 Bear Valley Rd, Hesperia, CA 923451746 | 7609491231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515711 | Jeffrey A. Ball | Internal Medicine | 592 West Main Street, Waldoboro, ME 04572-6023 | 2013-05-16 |
| 1881926020 | Jeffrey D Ball | Psychologist | 360 N Bedford Dr Ste 407, Beverly Hills, CA 90210-5122 | 2010-02-12 |
| 1598790560 | Jeffrey V Ball | Physician Assistant | 757 E Wythe Creek Ct, Kuna, ID 83634-5006 | 2006-07-11 |
| 1811372808 | Jeffrey Ball | Dentist | 1250 Bay Area Blvd, Houston, TX 77058-2545 | 2015-07-20 |
| 1013299023 | Jeffrey Neal Ball | Pharmacist | 10510 Southern Highlands Pkwy, Las Vegas, NV 89141-4373 | 2011-09-15 |
| 1235195579 | Jeffrey E Ball | Internal Medicine | 506 6th St, Brooklyn, NY 11215-3609 | 2006-04-25 |
| Street Address |
1244 N MAIN ST STE 201 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-9839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893652 | Jeffrey Richards Davis | Emergency Medicine | 1244 N Main St Ste 201, Tooele, UT 84074-9839 | 2006-06-26 |
| 1427561737 | Douglas Earl Farley | Nurse Practitioner | 1244 N Main St Ste 201, Tooele, UT 84074-9839 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| 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 |
|---|---|---|---|---|
| 1982914693 | Cameron Dortch | Physician Assistant | 1959 Aaron Dr # F, Tooele, UT 84074 | 2010-10-15 |
| 1861725889 | Jonathan David Atkin | Physician Assistant | 2356 North 400 East, Suite 201, Tooele, UT 84074 | 2009-09-09 |
| 1336385707 | Melinda Choate | Physician Assistant | 2356 N. 400 E., Suite 201, Tooele, UT 84074 | 2009-01-06 |
| 1730372947 | Sara Carstensen | Physician Assistant | 1959 Aaron Dr, Suite F, Tooele, UT 84074-8111 | 2007-08-21 |
| 1518453976 | Cameron Cooper | Physician Assistant | 2321 N 400 E Ste 300, Tooele, UT 84074-3440 | 2018-07-09 |
| 1013466978 | Jesse Yarrington | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2016-10-03 |
| 1912338872 | Lori C Hamilton | Physician Assistant | 2356 N 400 E Ste 201, Tooele, UT 84074-3409 | 2013-12-03 |
| 1205178571 | Joshua Scott Ingleby | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2013-03-25 |
| 1891058392 | Sarah Jane Lamoreaux | Physician Assistant | 196 E 2000 N, Tooele, UT 84074-9335 | 2012-06-19 |
| 1659643385 | Traci Lynn Wood | Physician Assistant | 196 E 2000 N, Suite 100, Tooele, UT 84074-9335 | 2012-01-26 |
| Find all providers in TOOELE | ||||
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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.