Angela B Ford, PA-C
Individual provider Active NPI Physician Assistant · Oak Ridge, NC
NPI 1134479645 · NPPES record last updated Apr 26, 2014
Key facts
- NPI
- 1134479645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 102891 (NC)
- Practice address
- 7901 McCreedy Dr
Oak Ridge, NC 27310-9695 - Phone
- (336) 558-3245
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130717000219 | NC | Practitioner - Physician Assistant | 5890935720 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102891 | NC | Yes |
Addresses
Primary practice location
7901 McCreedy Dr
Oak Ridge, NC 27310-9695
Mailing address
7901 McCreedy Dr
Oak Ridge, NC 27310-9695
Phone (336) 558-3245
Other names
- Ms. Angela B Wade
Other providers in Oak Ridge, NC
- Dr. Umabala Pasupala, PLLC
- April H Duggins
- Eagle Physicians and Associates PA
- First Choice of North Carolina, LLC
- Rufus Fish III
- Beck M Foster
- Erica Halcyon Freve
- Robert Fried
- Cathy Wilson Fuquay
- Zakiera Gaines
All providers in Oak Ridge, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.