Individual
MARK C. BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4683
SD
207V00000X
Obstetrics & Gynecology Physician
MD52141
IA
207VX0000X
Obstetrics Physician
Primary
E-19987
AR
207VX0000X
Obstetrics Physician
T2025-282
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008113
BC/BS PROVIDER #
SD
05
—
117665000
—
WY
05
—
6200920
—
SD
Enumeration date
08/16/2006
Last updated
11/03/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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