Matthew T Ballo (NPI# 1013017094, PAC ID# 6901993278) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1013017094 |
| PAC ID by PECOS | 6901993278 |
| Professional Enrollment ID | I20140225000538 |
| Full Name | Matthew T Ballo |
| Organization Legal Name | WEST CLINIC PC |
| Address |
1265 Union Ave Memphis TN 38104-3415 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 2668360579 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 9016830055 | WEST CLINIC PC |
| 1211 Union Ave, Memphis, TN 38104-6638 | 9016830055 | WEST CLINIC PC |
| 1265 Union Ave, Memphis, TN 38104-3415 | WEST CLINIC PC | |
| 1588 Union Ave, Memphis, TN 38104-3729 | 9013220251 | WEST CLINIC PC |
| 7668 Airways Blvd, Southaven, MS 38671-5304 | 6623499556 | WEST CLINIC PC |
| Organization Legal Name | WEST CLINIC PC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nour M Haddad | Nurse Practitioner | West Clinic PC | 7945 Wolf River Blvd, Germantown, TN 38138-1762 |
| Kathryn M Wright | Nurse Practitioner | West Clinic PC | 7668 Airways Blvd, Southaven, MS 38671-5304 |
| Lisa R Rader | Nurse Practitioner | West Clinic PC | 1588 Union Ave, Memphis, TN 38104-3729 |
| Laura R Daily | Obstetrics/gynecology | West Clinic PC | 100 N Humphreys Blvd, Memphis, TN 38120-2146 |
| Kandice M Walker | Nurse Practitioner | West Clinic PC | 1936 W Poplar Ave, Collierville, TN 38017-0605 |
| Anna K Smith | Nurse Practitioner | West Clinic PC | 2001 State Dr, Corinth, MS 38834-9324 |
| Suhail M Obaji | Hematology/oncology | West Clinic PC | 271 W Polk Ave, West Memphis, AR 72301-4228 |
| Kurt W Tauer | Medical Oncology | West Clinic PC | 240 Grandview Dr, Brighton, TN 38011-4253 |
| Lauren D Albertine | Nurse Practitioner | West Clinic PC | 7945 Wolf River Blvd, Germantown, TN 38138-1762 |
| Ashley Dowdy | Physician Assistant | West Clinic PC | 1588 Union Ave, Memphis, TN 38104-3729 |
| Street Address |
1265 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip | 38104-3415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph P Blankinship | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Antonni Shingles | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Michael Fisher | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Shannon N Noblin | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Yasser A Khaled | Hematology/oncology | Ut Methodist Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Marilyn M Barnett | Nurse Practitioner | Ut Methodist Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Hollis H Halford Iii | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| James R Burch | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Jeremiah L Deneve | General Surgery | Ut Methodist Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Brendan B. Mckinney | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Melissa Jean Fullerton | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Daniel G Fuller | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Find all physicians in zip 38104 | |||
| City | MEMPHIS |
| Zip Code | 38104 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | MEMPHIS + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Matthew T Ballo.
| 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.