Jack Ford MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DR00053716 Issued in CO

Legal business name

JACK FORD MD PC

Practice address

3505 Austin Bluffs Pkwy Ste 306
Colorado Springs, CO 80918-5755

Phone

(719) 475-1810

Fax

(719) 475-1812

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Crance, DONPI 1184972598

Title

Physician

Phone

(719) 475-1810

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13681/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Crance, DO

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1184972598
  NPD Authorized official
• Jack Ford, M D

  • Gynecology Physician
  • Colorado Springs, CO
  • NPI 1558363234
  NPD

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1194135657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PKWY STE 306",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185755",
            "telephone_number": "719-475-1810",
            "fax_number": "719-475-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PKWY STE 306",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185755",
            "telephone_number": "719-475-1810",
            "fax_number": "719-475-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK FORD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "CRANCE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "719-475-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CO",
            "license": "DR00016135",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR00053716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Stephen Lemley MD PC
• Ja Rides LLC
• Amanda Jabaay
• Nader Nabeel Jabbour, P.T.
• Blake Edward Jachimek
• Ryan Michael Jack, D.D.S., M.S.
• Sharley Rene Jackman, RD
• Jacks Axe Throwing
• Kimberly A. Jacksi, RN
• Dell Ann Jackson-Golia

• General Practice Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.