E Russell Ford MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0004616 Issued in DE

Legal business name

E RUSSELL FORD MD PA

Practice address

620 Stanton Christiana Rd
Suite 206
Newark, DE 19713-2133

Phone

(302) 633-1380

Fax

(302) 633-1036

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Everett Russell Ford, MD

Title

President

Phone

(302) 633-1380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154463206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 206",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-633-1380",
            "fax_number": "302-633-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 206",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-633-1380",
            "fax_number": "302-633-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E RUSSELL FORD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-633-1380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0004616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet G. Dutcher, NNP
• Pria Marie Dutt
• Elizabeth Dutweiler
• Dynamic Therapy Services LLC
• Tiffany M Dyson, PMHNP
• Karen Earl, M.D.
• Catherine G Earnest, WHPN
• Kimberly L Eastburn
• Maryann Eastep, MS,RD, LDN
• Sarah J Eaton, CNM, WHNP-BC

• Internal Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.