| Dr Christopher Buckingham Ballou, MD | |
|
14 Richland Medical Park Dr Ste 320, Columbia, SC 29203-6896 | |
| (803) 434-6771 | |
| (803) 434-3955 |
| Full Name | Dr Christopher Buckingham Ballou |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 14 Richland Medical Park Dr Ste 320, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659400943 | NPI | - | NPPES |
| 279745 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27974 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 27974 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 27974 (South Carolina) | Primary |
| Entity Name | South Carolina Oncology Assoc Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467406918 PECOS PAC ID: 6103739024 Enrollment ID: O20031107000064 |
| Entity Name | Palmetto Primary Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Entity Name | Three Rivers Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445597 PECOS PAC ID: 1557267663 Enrollment ID: O20031210000142 |
| Entity Name | Providence Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Buckingham Ballou, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697 | Dr Christopher Buckingham Ballou, MD 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203-6896 Ph: (803) 434-6771 |
Mrs. Toyin Ingram, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 | |
Keith Reeves Barron Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4100 Fax: 803-933-3042 | |
Roberto Rubio, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955 | |
Farid W Zeineddine, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955 | |
Yohannes Negash, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203 Phone: 800-491-0909 Fax: 803-434-3955 | |
Dr. Ogheneruona Osehi Odili, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-6430 Fax: 803-545-5353 | |
Dr. David Porter Heintze Jr., MD Hospitalist Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955 |