Isaiah L. Ford, MD
Individual provider Active NPI Internal Medicine Physician · Ganado, AZ
NPI 1194960435 · NPPES record last updated Dec 15, 2008
Key facts
- NPI
- 1194960435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 40920 (AZ)
- Practice address
- Arizona Hwy 264 & Hwy 191
Ganado, AZ 86505 - Phone
- (928) 755-4500
- Fax
- (928) 755-4815
- NPI assigned
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40920 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Health Foundation-Sage Memorial Hospital Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40920 | AZ | Yes |
Addresses
Primary practice location
Arizona Hwy 264 & Hwy 191
Ganado, AZ 86505
Mailing address
PO Box 457
Ganado, AZ 86505-0457
Phone (928) 755-4500
Other providers in Ganado, AZ
- Michelle Carmen Dale
- Tyleigh Rain Davidson
- Aracelio Diaz Perez
- Vivian Diep
- Aimee Marie Dosch
- Colleen Frank
- Shanell K Franklin
- Ganado Unified School District #20
- Devon KB Gorman
- Alphonso N. Guy
All providers in Ganado, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.