Individual provider Active NPI

Edward J. Ford, M.D.

  • Orthopaedic Surgery Physician
  • Langhorne, PA
National Provider Identifier
1164428009
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD042290E Issued in PA
Practice address
1203 Langhorne Newtown Rd Ste 120
Langhorne, PA 19047-1211
Phone
(267) 364-9100
Fax
(267) 364-9101
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA40055 NJ
Orthopaedic Surgery Physician 207X00000X MD042290E PA Primary

Addresses

Primary practice location

1203 Langhorne Newtown Rd Ste 120
Langhorne, PA 19047-1211

Mailing address

41 University Dr Ste 300
Newtown, PA 18940-1873
Phone (215) 710-5522

Other identifiers 1

IdentifierTypeStateIssuer
3421902MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edward.ford.1@11127.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111024000340 PA Practitioner - Orthopedic Surgery 3375447238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA40055NJMDSpecialist
MD042290EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

1203 Langhorne Newtown Rd
Ste 220
Langhorne, PA 19047
Phone (215) 860-4274

1203 Langhorne Newtown Rd
Ste 120
Langhorne, PA 19047
Phone (267) 364-9100

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

Interoperability endpoints

  • Direct secure messaging: eford2015990@direct.trinity-health.org
  • Direct secure messaging: edward.ford.1@11127.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1164428009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873",
            "telephone_number": "215-710-5522",
            "fax_number": "215-710-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD STE 120",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471211",
            "telephone_number": "267-364-9100",
            "fax_number": "267-364-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA40055",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD042290E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3421902",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edward.ford.1@11127.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "SMMC Direct E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1203 Langhorne Newtown Rd Ste 120",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.