Philbert J. Ford, M.D., PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME91513 Issued in FL

Legal business name

PHILBERT J. FORD, M.D., PA

Practice address

2009 Miccosukee Rd
Tallahassee, FL 32308-5359

Phone

(850) 942-2299

Fax

(850) 942-0322

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Philbert J Ford, MDNPI 1891711776

Title

Owner

Phone

(850) 942-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philbert J Ford, M.D.

  • Specialist
  • Tallahassee, FL
  • NPI 1891711776

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1366751471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085359",
            "telephone_number": "850-942-2299",
            "fax_number": "850-942-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085359",
            "telephone_number": "850-942-2299",
            "fax_number": "850-942-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILBERT J. FORD, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PHILBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-942-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278888800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jordan Phelan, P.A.-C.
• Amanda Phelps, APRN
• Giselle Phelps
• Kristen Taylor Phelps, PHARMD
• Phenomenal Tresses LLC
• Matthew Philbrick
• Philip Mandracchia DDS and Associates
• Troy Adrians Philips
• Slanda Philistin
• Phillips Street Opco LLC (Aviata at the Gardens - Tallahassee)

• Internal Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.