Individual provider Active NPI

James Blaney Ford Jr., M.D.

  • Hospitalist Physician
  • North Conway, NH
National Provider Identifier
1790071405
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
19955 Issued in NH
Practice address
3073 White Mountain Hwy
North Conway, NH 03860
Phone
(603) 356-5461
NPI assigned
Jun 21, 2011
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0054214 CO
Family Medicine Physician 207Q00000X 19955 NH
Hospitalist Physician 208M00000X 19955 NH Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860

Mailing address

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Other practice location 1

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-3761

Other practice location 2

265 Tanglewood Ln
Silverthorne, CO 80498-5314
Phone (970) 468-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112000649 CO Practitioner - Family Practice 3375557184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Mark a Norden MD PCGroup PAC ID 0749204022, 5 clinicians

Practice addresses (Care Compare)

340 Peak One Dr
Frisco, CO 80443-9900
Phone (303) 885-4673

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0054214COMDFamily Medicine Physician
19955NHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Norden M.D.,PC CurrentSince Oct 1, 2020 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2015 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Vail Clinic, Inc. Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

11700 W 2nd Pl
Ste 210
Lakewood, CO 80228
Phone (720) 321-8080

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1790071405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "03860",
            "telephone_number": "603-356-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "720-627-3761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Tanglewood Ln",
            "address_purpose": "LOCATION",
            "city": "Silverthorne",
            "state": "CO",
            "postal_code": "804985314",
            "country_code": "US",
            "telephone_number": "970-468-1003",
            "fax_number": "970-262-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "JAMES",
        "middle_name": "BLANEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0054214",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19955",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "19955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.