Mark Stevens Ford, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110001015 Issued in VA

Practice address

2800 Wellford St
Suite 100
Fredericksburg, VA 22401-3176

Phone

(540) 361-1830

Fax

(540) 361-1829

NPI assigned

Dec 29, 2005

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Wake Forest University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Orthopaedics and Sports MedicineGroup PAC ID 6305742610, 9 clinicians

Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home & Heart Health, Inc Home health agency, Fredericksburg, VA, CCN 497541
• Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mford11997@marywashingtonhealthcare.direct-ci.com
• Direct secure messaging: mford19222@direct.orthovirginia.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Virginia Orthopaedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Fredericksburg, VA
  • NPI 1437194289
  Medicare reassignment Care Compare group
• Orthovirginia Inc

  • Multi-Specialty Clinic/Center
  • Mechanicsville, VA
  • NPI 1487671822
  Medicare reassignment Care Compare group
• Orthovirginia, Inc

  • Physical Medicine & Rehabilitation Physician
  • Arlington, VA
  • NPI 1376411413
  NPD
• Orthovirginia, Inc.

  • Multi-Specialty Clinic/Center
  • Blacksburg, VA
  • NPI 1841649068

  Surgical

  NPD
• Mary Washington Healthcare Physicians

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1295999852
  NPD (past)

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

• Home & Heart Health Inc

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1659411981
  Care Compare affiliation
• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  Care Compare affiliation
• Mary Washington Hospital, Inc.

  dba Mary Washington Cardiology

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
  • NPI 1013089879

  Hospital

  Care Compare affiliation
• Mary Washington Hospital, Inc.

  dba Mary Washington Home Health Agency

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1407814163

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1710964812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WELLFORD ST",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013176",
            "telephone_number": "540-361-1830",
            "fax_number": "540-361-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WELLFORD ST",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013176",
            "telephone_number": "540-361-1830",
            "fax_number": "540-361-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Three Chopt Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294643",
            "country_code": "US",
            "telephone_number": "804-440-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "MARK",
        "middle_name": "STEVENS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110001015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4330530001",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mford19222@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Mark Ford direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "8901 Three Chopt Rd Ste D",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232294643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalia A Fongrat, DO
• Foot and Ankle Specialists of the Mid-Atlantic, LLC (Fredericksburg Foot & Ankle Center)
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• For Eyes Optical Co. of Pennsylvania, Inc. (For Eyes Optical Co.)
• Allison Ford
• Susan Ford
• Kimberly Marie Fordham, MD
• Madison Forrester
• Alina Forshee
• Kaitlyn Marie Forster

• Surgical Physician Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.