Active NPI
Geriatric and Nursing Home
- Geriatric Medicine (Internal Medicine) Physician
- Medford, OR
National Provider Identifier
1346526548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD24844
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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 DirectoryNPI 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.