John Suffern Ford, M.D.
Individual provider Active NPI Psychiatry Physician · Spicewood, TX
NPI 1710180914 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710180914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- D3548 (TX)
- Practice address
- 515 Coventry Rd
Spicewood, TX 78669-3114 - Phone
- (512) 565-0657
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- john.ford@direct.myteamcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D3548 | TX | Yes |
Addresses
Primary practice location
515 Coventry Rd
Spicewood, TX 78669-3114
Mailing address
515 Coventry Rd
Spicewood, TX 78669-3114
Phone (512) 565-0657
Other providers in Spicewood, TX
- Earth Angels Healthcare, LLC.
- Cari Jewel Eno
- Dana Glynn Evans
- Focus Behavioral of Austin, LLC
- Fold & Go Wheelchairs
- Sarah Fox
- Robert Wayne Gallagher
- Patricia Ludi Gonzales
- Tiffany Renee Goodsell
- Mindy L Granberry
All providers in Spicewood, TX · Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.