Basic Information
Provider Information
NPI: 1346443348
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BALLON-HENNINGS
FirstName: HELARD
MiddleName: GUNTHER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8906 SPANISH RIDGE AVE
Address2: SUITE 202
City: LAS VEGAS
State: NV
PostalCode: 89148
CountryCode: US
TelephoneNumber: 7023303102
FaxNumber: 7029124994
Practice Location
Address1: 9260 W SUNSET RD STE 202
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891484903
CountryCode: US
TelephoneNumber: 7028007008
FaxNumber: 7028002711
Other Information
ProviderEnumerationDate: 06/07/2007
LastUpdateDate: 07/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X16489NVY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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