Gregory M. Ford, MD PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

M-12085 Issued in ID

Legal business name

GREGORY M. FORD, MD PLLC

Practice address

950 Hospital Way
Ste a
Pocatello, ID 83201-2789

Phone

(208) 478-4522

Fax

(208) 712-6868

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gregory M Ford, MDNPI 1104928670

Title

Owner

Phone

(208) 478-4522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Gregory M Ford, MD

  • Orthopaedic Surgery Physician
  • Pocatello, ID
  • NPI 1104928670
  Medicare reassignment Care Compare group Authorized official
• Jenna Marie Castillo, PA-C

  • Medical Physician Assistant
  • Pocatello, ID
  • NPI 1326651035
  Medicare reassignment Care Compare group
• Tanner D Mitton, PA-C

  • Physician Assistant
  • Blackfoot, ID
  • NPI 1144601865
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477965952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HOSPITAL WAY",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012789",
            "telephone_number": "208-478-4522",
            "fax_number": "208-712-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HOSPITAL WAY",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012789",
            "telephone_number": "208-478-4522",
            "fax_number": "208-712-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M. FORD, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-478-4522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ID",
            "license": "M-12085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Green, PHARMD
• Lindsay Dawn Green, SLP
• Michele Renee Green
• Tracy Jo Green, R.D.
• Collette Carter Gregersen, LPC
• Matthew Gregson, PA-C
• Michael J Gregson, MD
• Griffin Anesthesia, LLC
• Brandon Griffin, DMD
• Ashley Chemene Griffiths, CCC-SLP

• Sports Medicine (Orthopaedic Surgery) Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.