JACK FORD MD PC (NPI# 1194135657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194135657 |
| Entity Type | Organization |
| Organization Name | JACK FORD MD PC |
| Practice Address |
1715 N Weber St Suite 330 Colorado Springs CO 80907-7532 |
| Practice Telephone | 7194751810 |
| Practice Fax Number | 7194751812 |
| Mailing Telephone | 7194751810 |
| Mailing Fax Number | 7194751812 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | DR. COURTNEY CRANCE (PHYSICIAN) |
| Authorized Official Telephone | 7194751810 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
DR00016135 | CO | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | DR00053716 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
1715 N WEBER ST SUITE 330 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913250 | Larry D Dillon | Surgery | 1715 N Weber St, Ste 330, Colorado Springs, CO 80907 | 2005-06-22 |
| 1275998106 | Tanya Lynn Brewer | Nurse Practitioner | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2015-12-18 |
| 1588006530 | Nathan L. Brightwell, M.d,pc | Specialist | 1715 N Weber St, Suite 220, Colorado Springs, CO 80907-7532 | 2013-07-18 |
| 1902243553 | Dr William T Stone Pllc | Psychiatry & Neurology | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2013-05-22 |
| 1306123096 | Amedco Colorado Pllc | Optometrist | 1715 N Weber St, #360, Colorado Springs, CO 80907-7532 | 2011-11-08 |
| 1962794131 | Exela Hearing Services | Audiologist-Hearing Aid Fitter | 1715 N Weber St, Ste 360, Colorado Springs, CO 80907-7532 | 2011-05-06 |
| 1477852119 | John James Pappert | Hearing Instrument Specialist | 1715 N Weber St, Ste 360, Colorado Springs, CO 80907-7532 | 2011-03-21 |
| 1699077222 | Dr. Lewis E. Mock, Chiropractor, Inc. | Chiropractor | 1715 N Weber St, Suite 200, Colorado Springs, CO 80907-7532 | 2010-12-02 |
| 1023322039 | William Tyler Stone | Psychiatry & Neurology | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2010-08-02 |
| 1285877183 | A Glenn Shoptaugh Md PC | Pediatrics | 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1215499967 | Stanley Leon Rapaport | General Practice | 3920 E San Miguel St Apt 129, Colorado Springs, CO 80909-3416 | 2019-04-02 |
| 1972009637 | Optimal Therapy Billing | General Practice | 6547 N Academy Blvd Ste 1131, Colorado Springs, CO 80918-8342 | 2018-04-02 |
| 1710487939 | Imed Integration LLC | General Practice | 6190 Lehman Dr Ste 100b, Colorado Springs, CO 80918-3445 | 2018-02-14 |
| 1982102406 | Medevals of Colorado, Inc. | General Practice | 1233 Lake Plaza Dr Ste B, Colorado Springs, CO 80906-3567 | 2018-01-30 |
| 1699164152 | Peak Performance Pt/md,llc | General Practice | 540 Mesa Vista Ct, Colorado Springs, CO 80904-2541 | 2015-01-21 |
| 1548668429 | Paul Baker Md PC | General Practice | 9703 Pinedale Dr, Colorado Springs, CO 80920-2443 | 2014-12-09 |
| 1235575457 | Barbara Meduna | General Practice | 14530 Silverton Rd, Colorado Springs, CO 80921-2944 | 2013-05-14 |
| 1184972598 | Courtney Crance | General Practice | 1715 N Weber St Ste 330, Colorado Springs, CO 80907-7554 | 2012-08-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.