Provider Demographics
NPI:1477556371
Name:BALL, STEPHEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:K
Last Name:BALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9125 CROSS PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4563
Mailing Address - Country:US
Mailing Address - Phone:865-632-5900
Mailing Address - Fax:865-374-2129
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-4563
Practice Address - Country:US
Practice Address - Phone:352-273-5501
Practice Address - Fax:352-273-5515
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2023-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD262912086S0129X
TNMD026291208G00000X
FLME130216208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2660623003OtherCIGNA PPO
TN4558109OtherAETNA PPO
TN3020784OtherBCBS OF TENNESSEE
TN2660623004OtherCIGNA HMO
TNQ020271Medicaid
TN3740019OtherUNITED HEALTHCARE
TN3088113Medicaid
TN3740019OtherUNITED HEALTHCARE
TN3740019OtherUNITED HEALTHCARE