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

Anna Elise Ballenger, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104566199

Anna Elise Ballenger, MD is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Hospital Dr # DC043.00
Columbia, MO 65212-3748
Phone: (573) 882-1767
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Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2024024315 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 2023019866 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MO)

Record details

NPI number1104566199
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1 Hospital Dr # Dc043.00, Columbia, MO 65212-3748

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