Ashleigh Ford, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA201910 Issued in OR

Practice address

2195 NE Professional CT Ste 1
Bend, OR 97701-6028

Phone

(541) 322-9396

Fax

(541) 322-9398

NPI assigned

May 1, 2019

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

Other names 1

• Ashleigh Dietz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aford24404@coipa.gardenplot.direct-ci.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.

• Neighborhood Family Medicine

  • Family Medicine Physician
  • Bend, OR
  • NPI 1225831837
  NPD (past)
• Qhsa Dba Dr. Bradley J Burket DMD, MD

  • Preferred Provider Organization
  • Bend, OR
  • NPI 1538579727
  NPD (past)

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1780249193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 NE PROFESSIONAL CT STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016028",
            "telephone_number": "541-322-9396",
            "fax_number": "541-322-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 NE PROFESSIONAL CT STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016028",
            "telephone_number": "541-322-9396",
            "fax_number": "541-322-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ASHLEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA201910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "DIETZ",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devin Foley
• Janet Sue Foliano, PSYD
• Erin Elizabeth Follen, O.D.
• Foot Fitness
• Amy Forconi-Beach, LPC
• Christina M. Ford, MD
• Crystal Ann Ford, MACOM, LAC
• Eric Ford
• Katie Ford, MFT,LPC
• Ryan Ford, PT

• Medical Physician Assistant in Bend, OR
• Providers in Bend, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.