Jacinta K Ford, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003112 Issued in OH

Practice address

4031 Colonel Glenn Hwy
Suite 133
Beavercreek, OH 45431-2774

Phone

(855) 232-0644

Fax

(888) 546-0488

NPI assigned

Jan 4, 2011

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobile Physician Services IncGroup PAC ID 4688685654, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
• Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
• Fountain Park Home Care, LLC Home health agency, Van Wert, OH, CCN 368142
• Everheart Hospice Hospice, Greenville, OH, CCN 361529
• Wayne Hospital Hospital, Greenville, OH, CCN 361335

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacinta.ford.1@29651.direct.athenahealth.com

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.

• Mobile Physician Services Inc.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1003002759

  OH

  Medicare reassignment Care Compare group
• Specialized Care Initiative PLLC

  • Adult Health Nurse Practitioner
  • New Port Richey, FL
  • NPI 1255179743

  OH

  Medicare reassignment NPD
• Careconnectmd Ohio, LLC

  • General Practice Physician
  • Columbus, OH
  • NPI 1255971537

  OH

  Medicare reassignment
• Ohio Institute of Cardiac Care, Inc

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1396938791
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Buckeye Home Health Care LLC

  • Home Health Agency
  • Dayton, OH
  • NPI 1699879601
  Care Compare affiliation
• Fidelity Health Care Inc

  • Home Health Agency
  • Moraine, OH
  • NPI 1235127838
  Care Compare affiliation
• Fountain Park Home Care, LLC

  • Home Health Agency
  • Van Wert, OH
  • NPI 1871650994
  Care Compare affiliation
• Hospice of Darke County Inc

  • Community Based Hospice Care Agency
  • Greenville, OH
  • NPI 1164400529

  Hospice

  Care Compare affiliation
• Wayne Hospital Company

  • Critical Access Hospital
  • Greenville, OH
  • NPI 1184621161

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1669776753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 COLONEL GLENN HWY",
            "address_2": "SUITE 133",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312774",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 COLONEL GLENN HWY",
            "address_2": "SUITE 133",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312774",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JACINTA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "003112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Fogarty, D.D.S.
• Gary Folino
• Amanda Folkening, SPEECH THERAPY
• Steven D Folkerth, MD
• Raeanne Hunter Fondriest, AG-ACNP
• Deanna Rae Fosnaugh
• James E Foster Jr., M.D.
• Sydney Shay Fourman
• Nicolas Fowler
• Joann Lynette Fox

• All providers in Beavercreek, OH
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.