Organization Active NPI

Ford Clinic, PC

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1336346311
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FORD CLINIC, PC
Practice address
3737 N Meridian St
Suite 410
Indianapolis, IN 46208-4348
Phone
(317) 923-2444
Fax
(317) 923-8758
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Lamar Reginald Ford, M.D.
Title
Dr. and Owner
Phone
(317) 923-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3737 N Meridian St
Suite 410
Indianapolis, IN 46208-4348

Mailing address

3737 N Meridian St
Suite 410
Indianapolis, IN 46208-4348
Phone (317) 923-2444

Other identifiers 1

IdentifierTypeStateIssuer
100460740MedicaidIN

National Provider Directory

National Provider Directory

Locations

3266 N Meridian St
#202
Indianapolis, IN 46208
Phone (317) 923-2444

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1336346311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 410",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-923-2444",
            "fax_number": "317-923-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 410",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-923-2444",
            "fax_number": "317-923-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_middle_name": "REGINALD",
        "authorized_official_title_or_position": "DR. AND OWNER",
        "authorized_official_telephone_number": "317-923-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100460740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.