Organization Active NPI

Ford Dermatology, PLLC

  • Dermatology Physician
  • Paducah, KY
National Provider Identifier
1104763390
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FORD DERMATOLOGY, PLLC
Practice address
3101 Parisa Dr
Paducah, KY 42003-4584
Phone
(270) 408-1850
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Halden Heath Ford, MD
Title
Owner
Phone
(270) 408-1850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3101 Parisa Dr
Paducah, KY 42003-4584

Mailing address

3101 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 408-1850

Other practice location 1

1710 Highway 121 Byp N Ste 1
Murray, KY 42071-8912
Phone (270) 408-1850

Other practice location 2

105 TN-431 North
Suite 1
Martin, TN 38237
Phone (270) 408-1850

National Provider Directory

National Provider Directory

Locations

1710 Highway 121 Byp N
Ste 1
Murray, KY 42071
Phone (270) 408-1850

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1104763390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-408-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-408-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Highway 121 Byp N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420718912",
            "country_code": "US",
            "telephone_number": "270-408-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 TN-431 North",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "TN",
            "postal_code": "38237",
            "country_code": "US",
            "telephone_number": "270-408-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORD DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "HALDEN",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-408-1850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.