NPIMap

Organization Active NPI

Gerald P. Ford, M.D. P.C

  • Ophthalmology Physician
  • Tempe, AZ
National Provider Identifier
1487839940
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7813 Issued in AZ
Legal business name
GERALD P. FORD, M.D. P.C
Practice address
2600 S Rural Rd Ste B
Tempe, AZ 85282-2448
Phone
(480) 967-3381
Fax
(480) 967-0755
NPI assigned
Jan 3, 2008
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Dr. Gerald Penny Ford, M.D.NPI 1972588804
Title
President
Phone
(480) 967-3381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 7813 AZ Primary

Addresses

Primary practice location

2600 S Rural Rd Ste B
Tempe, AZ 85282-2448

Mailing address

2600 S Rural Rd Ste B
Tempe, AZ 85282-2448
Phone (480) 967-3381

Other identifiers 4

IdentifierTypeStateIssuer
4022003OtherAZAETNA
180005504OtherAZRAILROAD MEDICARE
246703MedicaidAZ
AZ0017680OtherAZBLUECROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1487839940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S RURAL RD STE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822448",
            "telephone_number": "480-967-3381",
            "fax_number": "480-967-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S RURAL RD STE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822448",
            "telephone_number": "480-967-3381",
            "fax_number": "480-967-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD P. FORD, M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "PENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-967-3381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "7813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4022003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180005504",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246703",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "AZ0017680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.