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

Robert Blakeslee Ballard, MD

Individual provider Surgery Physician · NPI 1902898182

Robert Blakeslee Ballard, MD is a General Surgery in Appleton, Wisconsin. Graduated from Michigan State University College of Human Medicine in 1991, 35 years ago. Practices with Fox Valley Surgical Associates Ltd, a 35-clinician group and accepts Medicare assignment. Licensed in Georgia and Wisconsin.

Years since qualifying
35
Trained at
Michigan State University College of Human Medicine
Licensed in
GA, WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2000 E Milestone Dr
Appleton, WI 54913-6701
Phone: (920) 731-8131
Fax: (920) 832-0444
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 41244-20 (WI)
Surgery Physician Taxonomy 208600000X · Licence 41244 020 (WI)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 42169 (GA)

Record details

NPI number1902898182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address2000 E Milestone Dr, Appleton, WI 54913-6701

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1991 (35 years in practice)
Group practice Fox Valley Surgical Associates Ltd — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Appleton