Active NPI
Alan Keith Ford, MD
- Diagnostic Radiology Physician
- Kennewick, WA
National Provider Identifier
1679680532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00016666
- Practice address
- 900 S Auburn Street
Kennewick, WA 99336-5621 - Phone
- (509) 586-5779
- Fax
- (509) 586-5178
- NPI assigned
- Aug 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00016666 | WA | Primary |
Addresses
Primary practice location
900 S Auburn Street
Kennewick, WA 99336-5621
Mailing address
PO Box 1441
Amarillo, TX 79105-1441
Phone (509) 586-5779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8560401 | Medicaid | WA |
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 |
|---|---|---|---|
| MD00016666 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital Inc | Past | Accepting new patients | |
| Radiology Consultants PS | Past | Accepting new patients | |
| Kennewick Public Hospital District | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Kennewick, WA
- NPI 1184797433
-
- Specialist
- Moscow, ID
- NPI 1700889581
-
- Family Medicine Physician
- Kamiah, ID
- NPI 1568400562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1679680532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1441",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791051441",
"telephone_number": "509-586-5779",
"fax_number": "509-586-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S AUBURN STREET",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365621",
"telephone_number": "509-586-5779",
"fax_number": "509-586-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "ALAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00016666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8560401",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.