Active NPI
Gerald H Ford, CRNA
- Certified Registered Nurse Anesthetist
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 038581
- Practice address
- 4400 Buffalo Gap Rd
Suite 2250
Abilene, TX 79606-2723 - Phone
- (325) 793-5380
- Fax
- (325) 793-5259
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 038581 | TX | Primary |
Addresses
Primary practice location
4400 Buffalo Gap Rd
Suite 2250
Abilene, TX 79606-2723
Mailing address
PO Box 5409
Abilene, TX 79608-5409
Phone (325) 793-5380
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00342697 | Other | TX | MEDICARE ID |
| 86009U | Other | TX | BCBSTX |
| C088724C5 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 74.91 of 100
- Quality
- 70.09
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 50.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038581 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Abilene Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Amsurg Mdsine Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients |
Locations
6250 US Highway 83
#84
Abilene, TX 79606
1249 Ambler Ave
Ste 100
Abilene, TX 79601
Phone (325) 677-2626
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Abilene, TX
- NPI 1467876946
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Specialist
- Abilene, TX
- NPI 1346242567
-
- Pathology Specialist/Technologist
- Abilene, TX
- NPI 1760482665
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1932521366
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1811986193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5409",
"city": "ABILENE",
"state": "TX",
"postal_code": "796085409",
"telephone_number": "325-793-5380",
"fax_number": "325-793-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BUFFALO GAP RD",
"address_2": "SUITE 2250",
"city": "ABILENE",
"state": "TX",
"postal_code": "796062723",
"telephone_number": "325-793-5380",
"fax_number": "325-793-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "GERALD",
"middle_name": "H",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "038581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "P00342697",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "86009U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C088724C5",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.