=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104960426
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOY'EL B BALLARD M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2007
-----------------------------------------------------
Last Update Date | 10/31/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2000 MEDICAL PKWY STE. 304
-----------------------------------------------------
City | ANNAPOLIS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21401-3742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-573-9530
-----------------------------------------------------
Fax | 410-573-9568
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2000 MEDICAL PKWY STE. 304
-----------------------------------------------------
City | ANNAPOLIS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21401-3742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-573-9530
-----------------------------------------------------
Fax | 410-573-9568
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VC0200X
-----------------------------------------------------
Taxonomy Name | Critical Care Medicine (Obstetrics & Gynecology) Physician
-----------------------------------------------------
License Number | D0066431
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | D0066431
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------