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JACOB THATCHER BALLARD
NPI 1487591038
Student in an Organized Health Care Education/Training Program in Sayre, PA

Active since May 01, 2026

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Thatcher Ballard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB THATCHER BALLARD (NPI 1487591038) is an individual student in an organized health care education/training program in Sayre, Pennsylvania and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1487591038
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB THATCHER BALLARD
Location Address1 GUTHRIE SQSayre, PA 18840-1625
Mailing Address10137 W Vienna AveWauwatosa, WI 53222-2352 · (651) 300-5683
Phone(570) 888-6666
Sole ProprietorNo
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1487591038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 GUTHRIE SQ, Sayre, PA 18840
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLE LYNNETTE TERRY
Psychologist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. PHILLIP LUNSFORD MD
Emergency Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MRS. MELISSA FOX OTR/L
Occupational Therapist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 887-4801
DR. PREMJEET SINGH DHILLON MD
Internal Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
WILLIAM HUNTER EDWARDS
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
DONNA L TAMKIN MD
Radiology (Diagnostic Radiology)
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. BRUCE C SLAGLE M.D.
Hospitalist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MS. EMILY S. OBERST PA-C
Physician Assistant
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Ballard's NPI number?

The NPI number for Jacob Ballard is 1487591038. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Jacob Ballard located?

Jacob Ballard practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 888-6666.

What is Jacob Ballard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Ballard was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.