Christopher W Ballard (NPI# 1164428165, PAC ID# 2062498447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1164428165 |
PAC ID by PECOS | 2062498447 |
Professional Enrollment ID | I20040626000034 |
Full Name | Christopher W Ballard |
Organization Legal Name | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION |
Address |
303 Nw11th St Fairfield IL 62837-1203 |
Phone Number | 6188422611 |
Gender | M |
Credential | MD |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5698671741 |
Number of Group Practice Members | 21 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141311 | FAIRFIELD MEMORIAL HOSPITAL 1 |
141326 | HAMILTON MEMORIAL HOSPITAL DISTRICT |
150082 | DEACONESS HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
303 Nw11th St, Fairfield, IL 62837-1203 | 6188422611 | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION |
Organization Legal Name | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marla Lafikes | Family Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Douglas E Frankel | Internal Medicine | Fairfield Memorial Hospital Association | 303 Nw 11th St, Fairfield, IL 62837-1203 |
Caroline R Neff | General Surgery | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Michelle Lee Oneill | Emergency Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Alexis Dungca King | Certified Registered Nurse Anesthetist (crna) | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Paige A Williams | Certified Registered Nurse Anesthetist (crna) | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Nicole L Fyie | Family Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Kimberly S King | Certified Registered Nurse Anesthetist (crna) | Fairfield Memorial Hospital Association | 303 Nw11th St, Fairfield, IL 62837-1203 |
Dylan W Stennett | Nurse Practitioner | Fairfield Memorial Hospital Association | 303 Nw11th St, Fairfield, IL 62837-1203 |
Wesley D Thompson | Family Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Street Address |
303 NW11TH ST |
City | FAIRFIELD |
State | IL |
Zip | 62837-1203 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly S King | Certified Registered Nurse Anesthetist (crna) | Fairfield Memorial Hospital Association | 303 Nw11th St, Fairfield, IL 62837-1203 |
Dylan W Stennett | Nurse Practitioner | Fairfield Memorial Hospital Association | 303 Nw11th St, Fairfield, IL 62837-1203 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca J August | Clinical Social Worker | 506 Nw 9th St, Fairfield, IL 62837-1129 | |
Marla Lafikes | Family Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Douglas E Frankel | Internal Medicine | Fairfield Memorial Hospital Association | 303 Nw 11th St, Fairfield, IL 62837-1203 |
Caroline R Neff | General Surgery | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Michelle Lee Oneill | Emergency Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Alexis Dungca King | Certified Registered Nurse Anesthetist (crna) | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Paige A Williams | Certified Registered Nurse Anesthetist (crna) | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Nicole L Fyie | Family Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Wesley D Thompson | Family Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Rodney Dale Beeler | Emergency Medicine | Fairfield Memorial Hospital Association | 303 Northwest 11th St, Fairfield, IL 62837-1203 |
Find all physicians in zip 62837 |
City | FAIRFIELD |
Zip Code | 62837 |
Specialty | FAMILY MEDICINE |
City + Specialty | FAIRFIELD + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.