Individual provider Active NPI

Sharon Lynn Ford, P.A.-C.

  • Medical Physician Assistant
  • Towson, MD
National Provider Identifier
1730347147
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003743 Issued in MD
Practice address
7401 Osler Dr
Suite 205
Towson, MD 21204-7673
Phone
(410) 828-8077
Fax
(410) 828-8078
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003743 MD Primary

Addresses

Primary practice location

7401 Osler Dr
Suite 205
Towson, MD 21204-7673

Mailing address

7401 Osler Dr
Suite 205
Towson, MD 21204-7673
Phone (410) 828-8077

Other names 1

  • Sharon Lynn Watts-Ford Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C0003743MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frizzera Berlin & Collerius MD PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1730347147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-828-8077",
            "fax_number": "410-828-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-828-8077",
            "fax_number": "410-828-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "WATTS-FORD",
            "middle_name": "LYNN",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.