Active NPI
Stacey G. Ford, D.O.
- Gynecology Physician
- West Reading, PA
National Provider Identifier
1295928950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 1S006504L
- Practice address
- 740 Penn Ave
West Reading, PA 19611-1006 - Phone
- (610) 376-3700
- Fax
- (610) 685-1567
- NPI assigned
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 1S006504L | PA | Primary |
Addresses
Primary practice location
740 Penn Ave
West Reading, PA 19611-1006
Mailing address
740 Penn Ave
PO Box 7065
West Reading, PA 19611-1006
Phone (610) 376-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1S006504L | PA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1295928950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 PENN AVE",
"address_2": "PO BOX 7065",
"city": "WEST READING",
"state": "PA",
"postal_code": "196111006",
"telephone_number": "610-376-3700",
"fax_number": "610-685-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 PENN AVE",
"city": "WEST READING",
"state": "PA",
"postal_code": "196111006",
"telephone_number": "610-376-3700",
"fax_number": "610-685-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "STACEY",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PA",
"license": "1S006504L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.