Provider Demographics
NPI:1194797936
Name:BALL, WILLIAM F (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:BALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7715 FORT MASON DR
Mailing Address - Street 2:ROANOKE FAMILY MEDICINE INC
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-5391
Mailing Address - Country:US
Mailing Address - Phone:540-798-7742
Mailing Address - Fax:540-772-7686
Practice Address - Street 1:3390 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3740
Practice Address - Country:US
Practice Address - Phone:540-772-1006
Practice Address - Fax:540-772-1086
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
140685OtherANTHEM
080169558OtherMC RAILROAD
140685OtherANTHEM
080169558OtherMC RAILROAD