| Dr Ryan Lee Ballum, MD | |
|
28 Westhampton Way, Special Programs Building, University Of Richmond Student Health Center, Richmond, VA 23173 | |
| (804) 289-8064 | |
| (804) 287-6466 |
| Full Name | Dr Ryan Lee Ballum |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 28 Westhampton Way, Special Programs Building, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437366374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101241773 (Virginia) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 0101241773 (Virginia) | Primary |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Lee Ballum, MD 28 Westhampton Way, Special Programs Building, University Of Richmond Student Health Center, Richmond, VA 23173 Ph: (804) 289-8064 | Dr Ryan Lee Ballum, MD 28 Westhampton Way, Special Programs Building, University Of Richmond Student Health Center, Richmond, VA 23173 Ph: (804) 289-8064 |
Marieka Ann Helou, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N 11th St, Nelson Clinic, 2nd Floor, Room 210, Richmond, VA 23298 Phone: 804-828-9300 | |
Rhoda B Mahoney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Dr. Tracy Stroma Mcneish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9900 Independence Park Dr, Suite 100, Richmond, VA 23233 Phone: 804-747-1855 Fax: 804-762-8837 | |
Dr. Burak Gumuscu, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 5855 Bremo Road, Mob North,, Suite 703, Richmond, VA 23226 Phone: 804-281-8182 | |
Kathryn B Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Jan N. Dalby, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Randall Wayne Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7101 Jahnke Rd, 2nd Floor, Richmond, VA 23225 Phone: 804-323-8893 |