Organization Active NPI

Geriatric and Nursing Home

  • Geriatric Medicine (Internal Medicine) Physician
  • Medford, OR
National Provider Identifier
1346526548
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD24844 Issued in OR
Legal business name
GERIATRIC AND NURSING HOME
Practice address
441 Silverado Cir
Medford, OR 97504-8167
Phone
(541) 601-9939
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Christina M Ford, MD
Title
Owner/Provider
Phone
(541) 601-9939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X MD24844 OR Primary

Addresses

Primary practice location

441 Silverado Cir
Medford, OR 97504-8167

Mailing address

1208 Beall LN
Central Point, OR 97502-1573
Phone (541) 664-5151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1346526548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "877-772-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 SILVERADO CIR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048167",
            "telephone_number": "541-601-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC AND NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-601-9939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD24844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.