DANIEL J BALLARD (NPI# 1396795472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396795472 |
| Entity Type | Individual |
| Full Name | DANIEL J BALLARD |
| Credential | MD |
| Practice Address |
1003 Willow Creek Rd Prescott AZ 86301-1641 |
| Mailing Address |
4202 E Coolidge St Phoenix AZ 85018-4236 |
| Practice Telephone | 9284452000 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34786 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114027372 | Daniel Joseph Ballard | Dentist | 801 S Minnesota Avenue, Sioux Falls, SD 57104-4828 | 2006-09-25 |
| 1265803092 | Daniel Ballard | Physician Assistant | 1425 S Greenfield Rd, Mesa, AZ 85206-5529 | 2015-10-20 |
| 1376930784 | Daniel Patrick Ballard | Student in an Organized Health Care Education/Training Program | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2015-04-23 |
| 1598063778 | Daniel L Ballard | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2011-03-11 |
| Street Address |
1003 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528343 | Robert William Halterman | Family Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2005-06-15 |
| 1083211320 | Wendy E Nelson | Dietitian, Registered | 1003 Willow Creek Rd, Prescott, AZ 86301-1668 | 2020-10-08 |
| 1750909008 | Shawn Jeffery Mitchell | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2020-07-13 |
| 1669019683 | Justin Earl Rogers | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2019-12-09 |
| 1477116911 | Anna Mattson | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2019-04-19 |
| 1790276608 | Phillip Allen Schafer | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301 | 2018-05-25 |
| 1144724618 | Richard Barclay Thompson | Respiratory Therapist, Registered | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2018-03-20 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| 1427500107 | Zachary Archer | Perfusionist | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-10-28 |
| 1952753675 | Candice Panton | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104848290 | Erwina Ungos | Emergency Medicine | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2006-07-24 |
| 1053332908 | Craig E Sinnard | Emergency Medicine | 3191 Stillwater Dr, Ste B, Prescott, AZ 86305-7143 | 2006-07-23 |
| 1679837488 | Trale Barry Permar | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2012-06-26 |
| 1922368117 | Tara Bruns | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2012-05-21 |
| 1184937310 | Matthew Pavelka | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2010-07-16 |
| 1700067071 | Frederick David Leonard | Emergency Medicine | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2007-11-15 |
| 1356549604 | Arabinda Kahna Pani | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2007-07-09 |
| 1639219520 | Kamala M Boast | Emergency Medicine | 1003 Willow Creek Road, Prescott, AZ 86301 | 2007-02-08 |
| 1578626735 | Richard Steven Gaft | Emergency Medicine | 125 N Washington St, Box 114, Prescott, MI 48756-5117 | 2006-12-19 |
| 1851499107 | Jessica T Matthews | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-09-20 |
| Find all providers in PRESCOTT | ||||
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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.