ETHAN BALLARD MD – NPI #1922849520
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ETHAN BALLARD is a physician located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1922849520 to ETHAN BALLARD on June 05, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHAN BALLARD below.

NPI Profile for
ETHAN BALLARD

NPI Number
1922849520
Enumeration Date

(about 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETHAN BALLARD
Credentials
MD
Primary location
900 NE 10TH ST
OKLAHOMA CITY, OK 73104-5420
Phone: (405) 271-6110 Fax:
Mailing address
577 MOODY ST
GOSNELL, AR 72315-6122
Phone: (870) 623-4007 Fax:
Sole Proprietor
No
Updated
Certification Date
May 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OK 43505

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.