Benjamin Baker Fore, DO

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

2273 Issued in OK

Practice address

1005 15TH Ave NW
Ardmore, OK 73401-1810

Phone

(580) 223-4800

Fax

(580) 223-4801

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Rhea Buycks PA LLC

  • Family Medicine Physician
  • Ardmore, OK
  • NPI 1619421377
  Medicare reassignment NPD
• Mercy Health Services-Southern Region, LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Ardmore, OK
  • NPI 1003872482
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1922063510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-223-3737",
            "fax_number": "580-223-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-223-4800",
            "fax_number": "580-223-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORE",
        "first_name": "BENJAMIN",
        "middle_name": "BAKER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA LICENSE",
            "identifier": "2273",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Renee Ford
• Chastine Ford
• Jacquelyn Richelle Ford
• Kendra Janell Ford, LMFT
• Kristy Dawn Ford, MS
• James Forrestal, DO
• Kaden Forsythe, PTA
• Caroline Lillian Foster
• Cole Foster
• Ernest Byron Foster II, M.D.

• Pain Medicine Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.