Active NPIIndividual provider

Dr. Johnye Ballenger, MD

Pediatrics in Cambridge, Massachusetts

NPI Number1679674055
Practice location
575 Mount Auburn St, West Cambridge Pediatric & Adolescent Medicine, Cambridge, MA 02138-4656
Fax
617-492-1118
Last updated
April 15, 2009

Johnye Ballenger is a Pediatrics based in Cambridge, MA. Johnye Ballenger practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Johnye Ballenger is 1679674055 and holds a License No. 52968 (MA). The current practice location address for Johnye Ballenger is 575 Mount Auburn St, West Cambridge Pediatric & Adolescent Medicine, Cambridge, MA 02138-4656 and can be reached out via phone at 617-547-2093 and via fax at 617-492-1118.

Provider Profile Details

NPI Number
1679674055
Provider Name
Johnye Ballenger
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
575 Mount Auburn St, West Cambridge Pediatric & Adolescent Medicine, Cambridge, MA 02138-4656
Phone Number
617-547-2093
Fax Number
617-492-1118
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2006
Last Update Date
April 15, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 Mount Auburn St
West Cambridge Pediatric & Adolescent Medicine
Cambridge, MA 02138-4656
Zip
02138-4656
Phone Number
617-547-2093
Fax Number
617-492-1118
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
575 Mount Auburn St
West Cambridge Pediatric & Adolescent Medicine
Cambridge, MA 02138-4656
City
Cambridge
State
MA
Zip
02138-4656
Phone Number
617-547-2093
Fax Number
617-492-1118

License Information

License Number
52968
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Johnye Ballenger, MD?

The NPI number of Dr. Johnye Ballenger, MD is 1679674055. It was assigned on September 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Johnye Ballenger, MD?

Dr. Johnye Ballenger, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 52968.

Where does Dr. Johnye Ballenger, MD practice?

The practice location is 575 Mount Auburn St, West Cambridge Pediatric & Adolescent Medicine, Cambridge, MA 02138-4656. The office can be reached at 617-547-2093 (phone) or 617-492-1118 (fax).

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 1679674055 directly on the NPPES registry website.

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