Halden H Ford, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

32680 Issued in KY

Practice address

3101 Parisa Dr
Paducah, KY 42003-4584

Phone

(270) 444-8477

Fax

(270) 444-8479

NPI assigned

Aug 15, 2005

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

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 2

Specialty

Dermatology

Education

University of Louisville School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paducah Dermatology PLLCGroup PAC ID 0840274981, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.1 of 100Reported as group

Quality

88.86

Improvement activities

40

Cost

51.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paducah Dermatology PLLC

  • Dermatology Physician
  • Paducah, KY
  • NPI 1831242551

  TN

  Medicare reassignment Care Compare group NPD Authorized official
• Ford Dermatology, PLLC

  • Dermatology Physician
  • Paducah, KY
  • NPI 1104763390
  Authorized official Same address or phone
• Purchase Derm-ENT, PLLC

  • Otolaryngology Physician
  • Paducah, KY
  • NPI 1336101179
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1396747846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-444-8477",
            "fax_number": "270-444-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-444-8477",
            "fax_number": "270-444-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Highway 431",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "TN",
            "postal_code": "382378264",
            "country_code": "US",
            "telephone_number": "270-444-8477",
            "fax_number": "270-444-8479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 Old Symsonia Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "420255094",
            "country_code": "US",
            "telephone_number": "270-444-8477",
            "fax_number": "270-444-8479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "HALDEN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "32680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64326804",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill L Flynn, LCSW
• Mary E. Foley, PSYD
• Leah E Fondaw, LCSW
• Michelle Fondaw
• Ford Dermatology, PLLC
• Haley Gail Ford
• James Kenneth Ford, M.D.
• Jeri Ford, BSW
• Danielle Forrest
• Casey L Forthman, APRN

• Dermatology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.