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Deactivated NPI 1487653192 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Gerald Ballaine , DO

General Practice • Windsor, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Ballaine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 15, 2005
NPI Deactivation Date September 09, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Ballaine, DO was a registered General Practice practicing in Windsor, CA. Throughout an active medical career spanning 16 years, Dr. Ballaine provided care at the practice location at 549 PEPPERTREE DR until profile deactivation on 2021-09-09.

Practice Location & Contact Primary Location

Practice Address

549 Peppertree Dr

Windsor, CA 954928362

Telephone 7078375062
Fax 7078375624

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Windsor, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Windsor, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA 20A6840

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 09, 2021

Record deactivated on September 09, 2021

NPI Profile Active December 10, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2010

Registered at 549 PEPPERTREE DR, WINDSOR, CA 954928362 (Tel: 7078375062)

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Updated Business Mailing Address December 10, 2010

Registered at 549 PEPPERTREE DR, WINDSOR, CA 954928362 (Tel: 7078375062)

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Provider Name / Credentials Updated December 10, 2010

Recorded as DOUGLAS BALLAINE, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2010

General Practice (License #20A6840 in CA)

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Initial NPI Registration & Enumeration July 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487653192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2005
Last Update: December 10, 2010
Deactivation Date: September 09, 2021

Mailing Address

549 Peppertree Dr

Windsor, CA 954928362

Phone: 7078375062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.