NPI 1932720109 · live from the CMS NPI Registry
Matthew Jason Ballew, DO
Family Medicine in Biloxi, MS. National Provider Identifier 1932720109, active.
NPI record
| NPI | 1932720109 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 301 Fisher St, Biloxi, MS 39534 |
| Practice phone | 228-376-2273 |
| Enumerated | April 29, 2020 |
| Last updated | August 11, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 0102206812 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.