Jerald M. Ford, M.D., PSC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

15865 Issued in KY

Legal business name

JERALD M. FORD, M.D., PSC

Practice address

617 23Rd St
Suite 415
Ashland, KY 41101-2880

Phone

(606) 325-1200

Fax

(606) 324-9348

NPI assigned

Jan 5, 2011

Last updated

Jan 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerald M Ford, M.D.

Title

President

Phone

(606) 325-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1326342304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2527",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052527",
            "telephone_number": "606-325-1200",
            "fax_number": "606-324-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST",
            "address_2": "SUITE 415",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012880",
            "telephone_number": "606-325-1200",
            "fax_number": "606-324-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERALD M. FORD, M.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-325-1200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "15865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.