Active NPI
Christian N. Ford, M.D.
- Plastic Surgery Physician
- Norwell, MA
National Provider Identifier
1578728853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 240847
- Practice address
- 80 Washington Street
Building D, Suite 21
Norwell, MA 02061 - Phone
- (339) 469-1448
- Fax
- (339) 469-1557
- NPI assigned
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A89839 | CA | |
| Plastic Surgery Physician | 208200000X | 240847 | MA | Primary |
Addresses
Primary practice location
80 Washington Street
Building D, Suite 21
Norwell, MA 02061
Mailing address
80 Washington Street
Building D, Suite 21
Norwell, MA 02061
Phone (339) 469-1448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89839 | CA | MD | Plastic Surgery Physician |
| 240847 | MA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1578728853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WASHINGTON STREET",
"address_2": "BUILDING D, SUITE 21",
"city": "NORWELL",
"state": "MA",
"postal_code": "02061",
"telephone_number": "339-469-1448",
"fax_number": "339-469-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WASHINGTON STREET",
"address_2": "BUILDING D, SUITE 21",
"city": "NORWELL",
"state": "MA",
"postal_code": "02061",
"telephone_number": "339-469-1448",
"fax_number": "339-469-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "CHRISTIAN",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A89839",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "240847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.