Mr. Robert Ballough, PA
Physician Assistant, Medical in East Hartford, Connecticut
1851551972- Practice location
- 94 Connecticut Blvd, East Hartford, CT 06108-3013
- Phone
- 860-528-1359
- Fax
- —
- Last updated
- April 30, 2024
Robert Ballough is a Physician Assistant, Medical based in East Hartford, CT. Robert Ballough practices in East Hartford, CT and has the professional credentials of PA. The NPI Number for Robert Ballough is 1851551972 and holds a License No. 002079 (CT). The current practice location address for Robert Ballough is 94 Connecticut Blvd, East Hartford, CT 06108-3013 and can be reached out via phone at 860-528-1359.
Provider Profile Details
- NPI Number
- 1851551972
- Provider Name
- Robert Ballough
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 94 Connecticut Blvd, East Hartford, CT 06108-3013
- Phone Number
- 860-528-1359
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2008
- Last Update Date
- April 30, 2024
- Certification Date
- April 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 94 Connecticut Blvd
East Hartford, CT 06108-3013 - City
- East Hartford
- State
- Connecticut
- Zip
- 06108-3013
- Phone Number
- 860-528-1359
Provider Business Mailing Address Details
- Address
- 4 Farm CT
Wallingford, CT 06492-3251 - City
- Wallingford
- State
- CT
- Zip
- 06492-3251
- Phone Number
- 203-376-1863
License Information
- License Number
- 002079
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Robert Ballough, PA?
The NPI number of Mr. Robert Ballough, PA is 1851551972. It was assigned on June 12, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Robert Ballough, PA?
Mr. Robert Ballough, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 002079.
Where does Mr. Robert Ballough, PA practice?
The practice location is 94 Connecticut Blvd, East Hartford, CT 06108-3013. The office can be reached at 860-528-1359 (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 1851551972 directly on the NPPES registry website.