Individual provider Active NPI

Jennifer Marie Ford, MD

  • Surgery Physician
  • Yakima, WA
National Provider Identifier
1609217579
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60825873 Issued in WA
Practice address
110 S 9TH Ave
Yakima, WA 98902
Phone
(509) 575-5000
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L2511141 MI
Surgery Physician 208600000X MD60825873 WA Primary

Addresses

Primary practice location

110 S 9TH Ave
Yakima, WA 98902

Mailing address

550 Gage Blvd
Richland, WA 99352-9532
Phone (509) 942-2648

Other practice location 1

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 313-4000

Other practice location 2

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
56.09 of 100Reported as group
Quality
28.49
Promoting interoperability
100
Improvement activities
0
Cost
75.13

Merit-based Incentive Payment System (MIPS)

Final score
53.61 of 100Reported as group
Quality
21.35
Promoting interoperability
100
Improvement activities
0
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2511141MIMDSurgery Physician
MD60825873WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Center Toppenish CurrentSince May 23, 2018 Accepting new patients
Sunnyside Community Hospital Association CurrentSince May 23, 2018 Accepting new patients
Sunnyside Community Hospital Association CurrentSince May 23, 2018 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients

Locations

803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1005 W Walnut St
Ste 223
Yakima, WA 98902
Phone (509) 248-6080

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1609217579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-2648",
            "fax_number": "509-942-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 9TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-575-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22101 Moross Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362148",
            "country_code": "US",
            "telephone_number": "313-313-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "99352",
            "country_code": "US",
            "telephone_number": "509-942-2648",
            "fax_number": "509-942-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "L2511141",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60825873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.