Basic Information
Provider Information | |||||||||
NPI: | 1841294451 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | BALLOU | ||||||||
FirstName: | JAMES | ||||||||
MiddleName: | E | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 457 | ||||||||
Address2: | 5 E ALVON ROAD, SUITE 7 | ||||||||
City: | WHITE SULPHUR SPRINGS | ||||||||
State: | WV | ||||||||
PostalCode: | 249862373 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3045365030 | ||||||||
FaxNumber: | 3045365051 | ||||||||
Practice Location | |||||||||
Address1: | JACKSON RIVER INTERNIST | ||||||||
Address2: | 1 ARH LANE, STE 300 | ||||||||
City: | LOW MOOR | ||||||||
State: | VA | ||||||||
PostalCode: | 24457 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5408627210 | ||||||||
FaxNumber: | 5408625727 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/10/2005 | ||||||||
LastUpdateDate: | 10/15/2011 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 0101036475 | VA | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
ID | Type | State | Issuer | Description | 006099319 | 05 | VA |   | MEDICAID |