Organization Active NPI

R J Ford MD PA

  • Orthopaedic Surgery Physician
  • Weatherford, TX
National Provider Identifier
1235164708
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
F9432 Issued in TX
Legal business name
R J FORD MD PA
Practice address
925 Hilltop Dr
Ste 101
Weatherford, TX 76086-5889
Phone
(817) 599-4464
Fax
(817) 599-5316
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Melinda M Martin
Title
Practice Manager
Phone
(817) 599-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X F9432 TX Primary

Addresses

Primary practice location

925 Hilltop Dr
Ste 101
Weatherford, TX 76086-5889

Mailing address

PO Box 1207
Weatherford, TX 76086-1207
Phone (817) 599-4464

Other identifiers 4

IdentifierTypeStateIssuer
098721601MedicaidTX
098721604MedicaidTX
DG6383OtherTXMEDICARE RAILROAD
0083QSOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000861 TX Part B Supplier - Clinic/Group Practice 4789600578 Receives reassigned benefits from 1 practitioner
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory

Locations

925 Hilltop Dr
Weatherford, TX 76086
Phone (817) 854-9969

920 Santa Fe Dr
Ste 101
Weatherford, TX 76086
Phone (817) 599-4464

925 Hilltop Dr
Ste 101
Weatherford, TX 76086
Phone (817) 599-4464

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1235164708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760861207",
            "telephone_number": "817-599-4464",
            "fax_number": "817-599-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HILLTOP DR",
            "address_2": "STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865889",
            "telephone_number": "817-599-4464",
            "fax_number": "817-599-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R J FORD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "817-599-4464"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F9432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098721601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098721604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG6383",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0083QS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.