Marlene Rae Ford, MT, ASCP

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

1601 Issued in WV

Practice address

4898 Backus Rd
Meadow Bridge, WV 25976-9751

Phone

(304) 255-4926

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marlene Rae Fox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1629230990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 BACKUS RD",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "259769751",
            "telephone_number": "304-255-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 BACKUS RD",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "259769751",
            "telephone_number": "304-255-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MARLENE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MT, ASCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "WV",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "FOX",
            "middle_name": "RAE",
            "prefix": "MS.",
            "credential": "MT, ASCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffery Dallas Burns
• Shakira Lynn Chaffin
• Heidi Colleen Church, MS, RD, LD
• Bradley Layton Clark
• Crystal Clendenin
• Takeisha Dawn Fox
• Ashley Nicole Guilliams Redden
• Nickolle Gump
• Jewell Gwinn
• Stephanie Gwinn

• Medical Technologist in Meadow Bridge, WV
• Providers in Meadow Bridge, WV by specialty
• Medical Technologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.