Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alissa Ballard, DO

Individual provider Family Medicine Physician · NPI 1508359100

Alissa Ballard, DO is a Family Practice in O Fallon, Missouri. Qualified in 2018, 8 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2630 State Highway K Ste 100
O Fallon, MO 63368
Phone: (636) 240-5454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1505 W Sherman Ave, Vineland, NJ 08360-7059 — (856) 641-8000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2021017793 (MO)

Record details

NPI number1508359100
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESJuly 20, 2021
Certification dateJune 11, 2021
Mailing address2630 State Highway K, Ste 100, O'Fallon, MO 63368

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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