Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Michelle Ballard, MSCCC-A

Individual provider Audiologist-Hearing Aid Fitter · NPI 1790298115

Mary Michelle Ballard, MSCCC-A is a Qualified Audiologist in Tulsa, Oklahoma. Qualified in 1998, 28 years ago. Practices with Eastern Oklahoma Ear Nose and Throat Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
28
Licensed in
OK
In the registry since
2017
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Practice location Address checks out

5020 E 68th St
Tulsa, OK 74136-3307
Phone: (918) 492-3636
Fax: (918) 494-8915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist-Hearing Aid Fitter (primary) Taxonomy 237600000X · Licence 340 (OK)

Record details

NPI number1790298115
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-A
Sole proprietorNo
NPI enumeratedNovember 7, 2017
Last updated in NPPESNovember 7, 2017

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Eastern Oklahoma Ear Nose And Throat Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tulsa