Scott Philip Ford, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0015243 Issued in KS

Practice address

1119 Gage
Topeka, KS 66604

Phone

(785) 272-4000

Fax

(785) 272-0894

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Minor Med PA

  • Clinic/Center
  • Topeka, KS
  • NPI 1093827511
  Medicare reassignment

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205921244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 N KANSAS",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66617",
            "telephone_number": "785-246-0011",
            "fax_number": "785-272-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 GAGE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66604",
            "telephone_number": "785-272-4000",
            "fax_number": "785-272-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SCOTT",
        "middle_name": "PHILIP",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "0015243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ford
• Cora L Ford, APRN
• Cydnee R Ford
• Heather Ford
• Mechele Marie Ford, ARNP
• Foreman Chiropractic
• Joshua Paul Foreman, D.C.
• Shad Foreside
• Denise Lee Forgy
• Traci L. Forman, CRNA

• Medical Physician Assistant in Topeka, KS
• Providers in Topeka, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.