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

La Dena Ann Ballard, PA

Individual provider Physician Assistant · NPI 1740241553

La Dena Ann Ballard, PA is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
22
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2431 E 61st St Ste 500
Tulsa, OK 74136-1208
Phone: (918) 582-6800
Fax: (918) 582-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1467 (OK)

Record details

NPI number1740241553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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