MRS. LAURA RENNINGER BALLEW (NPI# 1801085659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801085659 |
| Entity Type | Individual |
| Full Name | MRS. LAURA RENNINGER BALLEW |
| Credential | PA-C |
| Practice Address |
807 State Road 44 New Smyrna Beach FL 32168-7271 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3864285554 |
| Practice Fax Number | 3864286291 |
| Mailing Telephone | 3862544000 |
| Mailing Fax Number | 3862264577 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2017-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9103192 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447815576 | Laura Lee Ballew | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy Ste 570, Austin, TX 78705-1024 | 2019-05-03 |
| Street Address |
807 STATE ROAD 44 |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip Code | 32168-7271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639275118 | Amy Lynn Zilcosky | Physician Assistant | 807 State Road 44, New Smyrna Beach, FL 32168-7271 | 2006-09-15 |
| 1255789392 | Matthew Tsampico Baker | Physician Assistant | 807 State Road 44, New Smyrna Beach, FL 32168-7271 | 2016-05-31 |
| 1497909311 | New Smyrna Beach Family Practice,inc. | Family Medicine | 807 State Road 44, New Smyrna Beach, FL 32168-7271 | 2008-11-05 |
| 1306039599 | Gregory P. Samano D.o., P.a. | Family Medicine | 807 State Road 44, New Smyrna Beach, FL 32168-7271 | 2007-08-22 |
| 1598958571 | Robert W Mosca Do Pa | Family Medicine | 807 State Road 44, New Smyrna Beach, FL 32168-7271 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546504 | Karen Lynn Gray | Occupational Therapist | 125 Memorial Medical Parkway, New Smyrna Beach, FL 32168 | 2020-04-15 |
| 1619500154 | Janelle Wadman | Physical Therapist | 1994 Sr-44, New Smyrna Beach, FL 32168 | 2020-02-12 |
| 1184262354 | Jessica Magers, LLC | Clinic/Center | 136 Julie St., New Smyrna Beach, FL 32168 | 2019-12-18 |
| 1760027171 | Jessica Lyn Magers | Counselor | 136 Julia Street, Unit 100, New Smyrna Beach, FL 32168 | 2019-11-08 |
| 1326453747 | Prc Associates, LLC | Anesthesiology | 501 S. Orange St., New Smyrna Beach, FL 32168 | 2014-06-24 |
| 1265842272 | David Farmer | Chiropractor | 532 Canal Street, New Smyrna Beach, FL 32168 | 2014-04-29 |
| 1184059750 | Fairgreen Assisted Living Inc. | Assisted Living Facility | 1150 Wayne Ave., New Smyrna Beach, FL 32168 | 2013-09-13 |
| 1427393982 | Jami L Peace | Hearing Instrument Specialist | 111 N Orange St, New Smyrna Beach, FL 32168 | 2012-12-10 |
| 1154608149 | Roberta Bornemann | Specialist | 519 Mill Run Drive, New Smyrna, FL 32168 | 2011-11-04 |
| 1023314358 | Scott Asman | Hearing Instrument Specialist | 1958 State Road 44, New Smyrna Beach, FL 32168 | 2011-02-03 |
| Find all providers in zip 32168 | ||||
| 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 |
|---|---|---|---|---|
| 1639275118 | Amy Lynn Zilcosky | Physician Assistant | 807 State Road 44, New Smyrna Beach, FL 32168-7271 | 2006-09-15 |
| 1669451795 | Cynthia S Mohney | Physician Assistant | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 | 2006-01-17 |
| 1245213966 | Todd K. Bergan | Physician Assistant | 1860 Renzulli Road, New Smyrna Beach, FL 32168-1726 | 2005-11-28 |
| 1548870975 | Anne Marie Denning | Physician Assistant | 317 S Dixie Fwy, New Smyrna Beach, FL 32168-7158 | 2020-07-31 |
| 1255789392 | Matthew Tsampico Baker | Physician Assistant | 807 State Road 44, New Smyrna Beach, FL 32168-7271 | 2016-05-31 |
| 1205275955 | Rohan Dharmaratnam | Physician Assistant | 1722 State Road 44, New Smyrna Beach, FL 32168-8339 | 2013-06-17 |
| 1497060396 | Ellis Franklin Fort IIi | Physician Assistant | 502 Palmetto St, New Smyrna Beach, FL 32168 | 2010-08-16 |
| 1477724060 | Mary Kelley Mccormick | Physician Assistant | 845 State Road 44, New Smyrna Beach, FL 32168-7271 | 2008-03-21 |
| 1932253580 | Rindy Nong | Physician Assistant | 1860 Renzulli Road, New Smyrna Beach, FL 32168-1726 | 2007-01-22 |
| 1730128448 | Erin C. Sloan | Physician Assistant | 1860 Renzulli Road, New Smyrna Beach, FL 32168-1726 | 2006-06-06 |
| Find all providers in NEW SMYRNA BEACH | ||||
| City | NEW SMYRNA BEACH |
| Zip Code | 32168 |
Please comment or provide details below to improve the information on MRS. LAURA RENNINGER BALLEW.
| 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.