Active NPI
Vincent Edward Ford, CRNA
- Certified Registered Nurse Anesthetist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 256475
- Practice address
- 18701 N 67TH Ave
Glendale, AZ 85308-7100 - Phone
- (623) 561-1000
- NPI assigned
- Dec 7, 2016
- Last updated
- May 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 256475 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0001250252 | VA |
Addresses
Primary practice location
18701 N 67TH Ave
Glendale, AZ 85308-7100
Mailing address
9508 S 43Rd Ave
Laveen, AZ 85339-7746
Phone (919) 923-3584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
1800 E Van Buren St
Phoenix St Luke's
Phoenix, AZ 85006-3742
Phone (602) 251-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001250252 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiac Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Greater Anesthesia Solutions | Anesthesiology | Current | Accepting new patients |
| Globe Crna Company, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1083397764
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
-
- Certified Registered Nurse Anesthetist
- Globe, AZ
- NPI 1164482790
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
-
dba Abrazo West Campus and Abrazo Maryvale Campus
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1598209694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9508 S 43RD AVE",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397746",
"telephone_number": "919-923-3584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18701 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087100",
"telephone_number": "623-561-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "VINCENT",
"middle_name": "EDWARD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-07",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "256475",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0001250252",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.