- Practice location
- 2630 State Highway K, Ste 100, O'Fallon, MO 63368
- Phone
- 636-240-5454
- Fax
- —
- Last updated
- July 20, 2021
Alissa Ballard is a Family Medicine based in O'Fallon, MO. Alissa Ballard practices in O'Fallon, MO and has the professional credentials of DO. The NPI Number for Alissa Ballard is 1508359100 and holds a License No. 2021017793 (MO). The current practice location address for Alissa Ballard is 2630 State Highway K, Ste 100, O'Fallon, MO 63368 and can be reached out via phone at 636-240-5454.
Provider Profile Details
- NPI Number
- 1508359100
- Provider Name
- Alissa Ballard
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2630 State Highway K, Ste 100, O'Fallon, MO 63368
- Phone Number
- 636-240-5454
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 8, 2018
- Last Update Date
- July 20, 2021
- Certification Date
- June 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2630 State Highway K
Ste 100
O'Fallon, MO 63368 - City
- O'Fallon
- State
- Missouri
- Zip
- 63368
- Phone Number
- 636-240-5454
Provider Business Mailing Address Details
- Address
- 2630 State Highway K
Ste 100
O'Fallon, MO 63368 - City
- O'Fallon
- State
- MO
- Zip
- 63368
- Phone Number
- 636-240-5454
License Information
- License Number
- 2021017793
- License State
- MO
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near O'Fallon, MO
View all Family Medicine providers in O'Fallon →Frequently Asked Questions
What is the NPI number of Alissa Ballard, DO?
The NPI number of Alissa Ballard, DO is 1508359100. It was assigned on June 8, 2018 and is currently active in the NPPES registry.
What is the specialty of Alissa Ballard, DO?
Alissa Ballard, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MO under license number 2021017793.
Where does Alissa Ballard, DO practice?
The practice location is 2630 State Highway K, Ste 100, O'Fallon, MO 63368. The office can be reached at 636-240-5454 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508359100 directly on the NPPES registry website.