Kristina Ann Ford, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1217 Issued in SC

Practice address

25 Hospital Center Common
Suite 200
Hilton Head Island, SC 29926

Phone

(843) 689-5002

Fax

(843) 689-3690

NPI assigned

Jul 19, 2006

Last updated

Mar 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kristna Ann Krotov Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• May River Dermatology

  dba May River Dermatology, LLC

  • Medical Specialty Clinic/Center
  • Bluffton, SC
  • NPI 1770723512
  Medicare reassignment
• Alfredo J Brand MD PA

  dba Carolina Dermatology of Hilton Head

  • Dermatology Physician
  • Hilton Head Island, SC
  • NPI 1720278948
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1780603985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2330",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102330",
            "telephone_number": "843-689-5002",
            "fax_number": "843-689-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER COMMON",
            "address_2": "SUITE 200",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-689-5002",
            "fax_number": "843-689-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103616",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTNA",
            "last_name": "KROTOV",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John E. Flannery Jr., M.D.
• Tore Michelle Flavin, FNP
• Melissa Ashley Fober, DPT
• Lori Goodnature Foran, PH.D., CCC-SLP
• Aaron James Ford, M.D.
• Frank R. Barbieri DDS
• Ashely N Frank
• Shavon Amber Franklin, LMT
• Fraum Chiropractic Life Center, P.a.
• Brad Eric Fraum, D.C.

• Physician Assistant in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.