Individual provider Active NPI

Jason Ford, MD

  • Pediatrics Physician
  • Ashland, KY
National Provider Identifier
1376663187
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40959 Issued in KY
Practice address
2910 Carter Ave
Ashland, KY 41101-1943
Phone
(606) 324-7337
Fax
(606) 326-9596
NPI assigned
Mar 29, 2007
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40959 KY Primary

Addresses

Primary practice location

2910 Carter Ave
Ashland, KY 41101-1943

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-9571

Other identifiers 4

IdentifierTypeStateIssuer
000000598472OtherKYANTHEM BCBS
2757913MedicaidOH
7100012910MedicaidKY
000000526773OtherKYANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jford73245@direct.kdhealth.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000528 KY Practitioner - Pediatric Medicine 3375636442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Jul 23, 2020 Accepting new patients
Ashland Hospital Corporation CurrentSince Jul 23, 2020 Accepting new patients
Our Lady of Bellefonte Hospital Inc Past Accepting new patients
Ashland Hospital Corporation Past Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444

2028 Winchester Ave
Ashland, KY 41101
Phone (606) 326-9001

2028 Winchester Ave
#2
Ashland, KY 41101
Phone (606) 324-7337

2910 Carter Ave
Ashland, KY 41101
Phone (606) 324-7337

336 29th St
Ste 201
Ashland, KY 41101
Phone (606) 324-0051

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1376663187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-9571",
            "fax_number": "606-408-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011943",
            "telephone_number": "606-324-7337",
            "fax_number": "606-326-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "40959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000598472",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2757913",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100012910",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000526773",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jford73245@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "2910 Carter Ave",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411011943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.