Individual provider Active NPI

Michael C. Ford, MD

  • Ophthalmology Physician
  • Tyler, TX
National Provider Identifier
1326020736
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P7910 Issued in TX
Practice address
714 Turtle Creek Dr
Tyler, TX 75701
Phone
(903) 630-5037
Fax
(903) 258-9643
NPI assigned
Nov 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P7910 TX Primary

Addresses

Primary practice location

714 Turtle Creek Dr
Tyler, TX 75701

Mailing address

PO Box 6651
Tyler, TX 75711-6651
Phone (903) 630-5037

Other identifiers 2

IdentifierTypeStateIssuer
328499401MedicaidTX
8EA343OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140103000373 TX Practitioner - Ophthalmology 7416843982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

714 Turtle Creek Dr
Tyler, TX 75701-1833
Phone (903) 630-5037

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery117
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5252SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2018 Accepting new patients
Michael C Ford MD, PLLC Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Harold G Everett, M.D, PLLC Past Accepting new patients

Locations

1705 Judson Rd
Longview, TX 75601
Phone (903) 758-4421

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

714 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-4333

802 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-4333

1424 E Front St
Tyler, TX 75702
Phone (903) 595-4167

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1326020736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6651",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116651",
            "telephone_number": "903-630-5037",
            "fax_number": "903-258-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-630-5037",
            "fax_number": "903-258-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P7910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328499401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EA343",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.