BALLARD JACKSON MANN (NPI# 1942580048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942580048 |
| Entity Type | Individual |
| Full Name | BALLARD JACKSON MANN |
| Credential | P.A. |
| Practice Address |
6516 E Myrtle Ave Baker LA 70714-4348 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2257747320 |
| Practice Fax Number | 2257745432 |
| Mailing Telephone | 2255260006 |
| Mailing Fax Number | 2257659291 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 200461 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6516 E MYRTLE AVE |
| City | BAKER |
| State | LA |
| Zip Code | 70714-4348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977824 | Catherine Ann Pourciau | Nurse Practitioner | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2005-07-29 |
| 1558603563 | Kristin Lynch Grimes | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2013-03-18 |
| 1104844455 | Brad C Giarrusso | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-07-17 |
| 1144271602 | Bradford J Smith | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-12 |
| 1073563565 | Stephen W Speeg | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-12 |
| 1386694560 | Alice Catherine Powell | Physician Assistant | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-11 |
| 1972553196 | Kent M Rhodes | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-10 |
| 1750331997 | T'lane M Folse | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406574 | Chasity Davis | Counselor | 12753 Plank Rd Apt 32, Baker, LA 70714 | 2017-09-13 |
| 1417486895 | Cicella Lorine Benton | Counselor | 3327 Grant St, Baker, LA 70714 | 2017-06-08 |
| 1447782594 | I Know I Can Speech-language Therapy Services | Early Intervention Provider Agency | 7206 Juno Drive, Baker, LA 70714 | 2017-03-29 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 1013363241 | Micon Gaines | Counselor | 4206 N. Morvant Pl., Baker, LA 70714 | 2016-05-06 |
| 1932564549 | Clifton Hunt | Case Manager/Care Coordinator | 3276 Jackson St, Baker, LA 70714 | 2015-12-24 |
| 1992174833 | A Loving Heart Medical Transportation,llc | Non-emergency Medical Transport (VAN) | 5401 Rue Nicole, Baker, LA 70714 | 2015-09-22 |
| 1174927685 | Unique Healthcare Options | Clinic/Center | 1877 Heck Young Rd, Baker, LA 70714 | 2014-10-13 |
| 1972934263 | Freds Stores of Tennessee Inc | Pharmacy | 312 Main Street Hwy 19, Baker, LA 70714 | 2013-12-11 |
| 1245665157 | Cope Behavior Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 4425 Groom Road, Suite B, Baker, LA 70714 | 2013-09-10 |
| Find all providers in zip 70714 | ||||
| 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 |
|---|---|---|---|---|
| 1295810448 | Lisa Marie Basye | Physician Assistant | 17978 State Rt. 55, Baker, WV 26801-0097 | 2006-10-26 |
| 1184686701 | Amy Teresa Phebus | Physician Assistant | 370 Harmony Springs Ln, Baker, WV 26801-8163 | 2006-04-06 |
| 1275017899 | Katherine Elizabeth Ernest | Physician Assistant | 202 S 4th St W, Baker, MT 59313-9156 | 2018-09-19 |
| 1922304476 | Travis Allen | Physician Assistant | 202 S 4th St W, Baker, MT 59313-9156 | 2011-02-01 |
| 1346272234 | Paul E Wheeler | Physician Assistant | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-07-07 |
| 1386694560 | Alice Catherine Powell | Physician Assistant | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-11 |
| 1417926684 | Kelli Eglinger | Physician Assistant | 17978 Sr 55, Baker, WV 26801 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1134728769 | Hannah Michael | Physician Assistant | 8249 Vincent Rd, Denham Springs, LA 70726-6279 | 2020-10-24 |
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
| 1669089389 | Emily Marie Bruce | Physician Assistant | 112 Peytral Dr, Raceland, LA 70394-2016 | 2020-09-27 |
| 1740891431 | Haley Webre | Physician Assistant | 110 Avery St, Luling, LA 70070-2180 | 2020-08-14 |
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1629693502 | Laura Rose Murray | Physician Assistant | 330 Julia St Apt 308, New Orleans, LA 70130-3682 | 2020-06-16 |
| 1639793714 | Lillian Madin | Physician Assistant | 3312 Dumaine St, New Orleans, LA 70119-3911 | 2020-06-03 |
| 1043832579 | Sarah Hassien Daigle | Physician Assistant | 324 Madison Crossing Dr, Sulphur, LA 70665-8791 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
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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.