NPIMap

Organization Active NPI

Kathryn L Ford Family Practice Center, L.L.C.

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1245370246
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0002538 Issued in DE
Legal business name
KATHRYN L FORD FAMILY PRACTICE CENTER, L.L.C.
Practice address
870 South Govenors Ave.
Dover, DE 19904-4108
Phone
(302) 674-8088
Fax
(302) 674-8213
NPI assigned
Feb 7, 2007
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Paul Wendell Ford Jr., M.D.NPI 1053315531
Title
Medical Doctor
Phone
(302) 674-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X C1-0002538 DE Primary

Addresses

Primary practice location

870 South Govenors Ave.
Dover, DE 19904-4108

Mailing address

870 South Govenors Ave.
Dover, DE 19904-4108
Phone (302) 674-8088

National Provider Directory

National Provider Directory

Locations

870 S Governors Ave
Dover, DE 19904
Phone (302) 674-4174

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/30290204-0354-41d4-82d0-b5e3a0bc4ec5/

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1245370246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SOUTH GOVENORS AVE.",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044108",
            "telephone_number": "302-674-8088",
            "fax_number": "302-674-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SOUTH GOVENORS AVE.",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044108",
            "telephone_number": "302-674-8088",
            "fax_number": "302-674-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN L FORD FAMILY PRACTICE CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "302-674-8088",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0002538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.