Dr. Samuel J Ballentine, MD
Pathology, Anatomic Pathology & Clinical Pathology in Wethersfield, Connecticut
1881038735- Practice location
- 1290 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4337
- Phone
- 860-859-9061
- Fax
- 860-889-6200
- Last updated
- December 29, 2025
Samuel James Ballentine is a Pathology, Anatomic Pathology & Clinical Pathology based in Wethersfield, CT. Samuel James Ballentine practices in Wethersfield, CT and has the professional credentials of MD. The NPI Number for Samuel James Ballentine is 1881038735 and holds a License No. 2019024601 (MO). The current practice location address for Samuel James Ballentine is 1290 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4337 and can be reached out via phone at 860-859-9061 and via fax at 860-889-6200.
Provider Profile Details
- NPI Number
- 1881038735
- Provider Name
- Samuel James Ballentine
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1290 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4337
- Phone Number
- 860-859-9061
- Fax Number
- 860-889-6200
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2013
- Last Update Date
- December 29, 2025
- Certification Date
- December 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1290 Silas Deane Hwy Ste 101
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4337
- Phone Number
- 860-859-9061
- Fax Number
- 860-889-6200
Provider Business Mailing Address Details
- Address
- Po Box 7412011
Chicago, IL 60674-2011 - City
- Chicago
- State
- IL
- Zip
- 60674-2011
- Phone Number
- 314-362-5641
- Fax Number
- 314-362-8950
License Information
- License Number
- 2019024601
- License State
- MO
- Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · 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 Dr. Samuel J Ballentine, MD?
The NPI number of Dr. Samuel J Ballentine, MD is 1881038735. It was assigned on April 22, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Samuel J Ballentine, MD?
Dr. Samuel J Ballentine, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in MO under license number 2019024601.
Where does Dr. Samuel J Ballentine, MD practice?
The practice location is 1290 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4337. The office can be reached at 860-859-9061 (phone) or 860-889-6200 (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 1881038735 directly on the NPPES registry website.