DR. RICHARD DANE BALLARD


Address: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801
Phone: 6626206800

DR. RICHARD DANE BALLARD (NPI# 1366739054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366739054
Entity Type Individual
Full Name DR. RICHARD DANE BALLARD
Credential M.D.
Practice Address 499 Gloster Creek Vlg Ste A2
Tupelo
MS 38801
Mailing Address 499 Gloster Creek Vlg Ste A2
Tupelo
MS 38801-4749
Practice Telephone 6626206800
Practice Fax Number 6626206950
Mailing Telephone 6626206800
Mailing Fax Number 6626206950
Enumeration Date 2011-07-01
Last Update Date 2018-09-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
22430 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 05300066 05
MS TEMPORARY MS MEDICAL LICENSE T-2401 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 6626206800 6626206950

Other Providers RICHARD BALLARD

NPI Name Taxonomy Address Enumeration
1427542000 Richard Earl Ballard Jr. Counselor Site Office: Charles Carroll Ms 6130 Lamont Drive, C/o Ms. Claudia B.-walter, Fbcog- Ceo for Son Rise Cc&i, New Carrollton, MD 20784 2018-06-18
1831533447 Richard G Ballard Counselor 3710 Augusta Rd, C/o Our Lady of The Rosary Church, Greenville, SC 29605-1335 2013-04-25
1740513332 Richard Newman Ballard Counselor 3011 Lexington Rd, Louisville, KY 40206-3005 2009-09-14
1861523532 Richard W. Ballard Dentist 1002 Girod St, Mandeville, LA 70448-3720 2007-03-07
1528122397 Richard Alan Ballard Optometrist 690 Old Hickory Blvd, Ste 101, Brentwood, TN 37027-5460 2006-12-19
1730275975 Richard Blakeslee Ballard Dentist 716 Superior Ave, Gladstone, MI 49837-1751 2006-10-05
1578662375 Richard A. Ballard Dentist 1221 Michigan St, Sandpoint, ID 83864-1745 2006-09-21
1033143938 Richard Douglas Ballard Chiropractor 2312 Knob Creek Rd., Ste 204, Johnson City, TN 37604 2006-07-10
1053554543 Richard M Ballard Jr. Social Worker 2301 Hampton Ave, Saint Louis, MO 63139-2908 2009-04-13
1073583613 Richard Ballard Orthopaedic Surgery 1200 S Farmerville St, Ruston, LA 71270-5941 2006-01-25

Office Location

Street Address 499 GLOSTER CREEK VLG STE A2
City TUPELO
State MS
Zip Code 38801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619919511 Karl J. Crossen Internal Medicine 499 Gloster Creek Vlg Ste A2, Cardiology Associates of North Ms, Tupelo, MS 38801-4749 2006-06-12
1538769161 William Todd Sandroni Pharmacist 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 2020-11-01
1073157715 Brandon Heath Petty Nurse Practitioner 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 2019-11-06
1023305687 Michael Ted Boler Jr. Internal Medicine 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 2011-07-05
1760797781 Karthik Venkatesh Prasad Internal Medicine 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 2010-08-13
1619174299 Gwendolyn H Hill Nurse Practitioner 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 2007-06-28
1013114677 Wanda Ikeda Nurse Practitioner 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 2007-06-28
1265640148 Amit Gupta Internal Medicine 499 Gloster Creek Vlg Ste A2, Cardiology Associates of North Mississippi, Tupelo, MS 38801-4749 2007-05-21
1225190382 Christopher M. Bell Nurse Practitioner 499 Gloster Creek Vlg Ste A2, Cardiology Associates of North Ms, Pa, Tupelo, MS 38801-4749 2006-12-15
1902971492 Cardiology Associates of North Ms Pa Internal Medicine 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 2006-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134761786 Cardiovascular Health Center Pllc Internal Medicine 4211 Hospital St Ste 202, Pascagoula, MS 39581-5310 2019-10-16
1497224174 Fusion Vascular, LLC Internal Medicine 800 Pearman Ave, Cleveland, MS 38732-3502 2018-11-25
1679730329 Foluso A Fakorede Internal Medicine 800 N Pearman Ave, Cleveland, MS 38732-3502 2008-05-20
1073617775 Jimmy Darrell Sneed Internal Medicine 391 Southcrest Cir Ste 200, Southaven, MS 38671-6729 2006-09-12
1245214196 Hemraj R. Makwana Internal Medicine 520 Willowbrook Rd, Columbus, MS 39705-2015 2005-12-05
1720087257 Joon K Chang Internal Medicine 255 Baptist Blvd, Ste. 401, Columbus, MS 39705-2011 2005-07-18
1154989689 King and Associates Cardiology Pllc Internal Medicine 2323 5th St N, Columbus, MS 39705-2213 2019-05-30
1053873133 Cms Care of Ms, LLC Internal Medicine 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 2019-04-05
1760975692 Fusion Vascular Center, LLC Internal Medicine 800 Pearman Ave, Cleveland, MS 38732 2018-06-14
1356712848 Cardiovascular Solutions of Central Ms Pa Internal Medicine 800 N Pearman Ave, Cleveland, MS 38732-3502 2015-10-09
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Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

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.

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