MR. RALPH FORD (NPI# 1194704080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194704080 |
| Entity Type | Individual |
| Full Name | MR. RALPH FORD |
| Credential | MD |
| Practice Address |
35629 Highway 72 Salem MO 65560-7217 |
| Mailing Address |
Po Box 774 35629 Highway 72 Salem MO 65560-0774 |
| Practice Telephone | 5737296626 |
| Practice Fax Number | 5737296502 |
| Mailing Telephone | 5737296626 |
| Mailing Fax Number | 5737296502 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2009-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 252 30 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821150277 | Ralph Ford IIi | Psychologist | 909 Gray Rd, Traverse City, MI 49686-9219 | 2006-12-14 |
| 1083638340 | Ralph R. Ford Jr. | Psychologist | 1057 Broad St, Bridgeport, CT 06604-4219 | 2006-07-27 |
| Street Address |
35629 HIGHWAY 72 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1760966188 | Mandi Nicole Parks | Nurse Practitioner | 35629 Highway 72, Salem, MO 65560-7217 | 2018-09-21 |
| 1851891709 | Jill Dean | Occupational Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2018-02-16 |
| 1902346240 | Sarah Knott | Physical Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2017-03-06 |
| 1306226998 | Zachary Moser | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-06-09 |
| 1730566274 | Melody Marie Montgomery | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-05-05 |
| 1548682339 | Nicole L Hancock | Dietitian, Registered | 35629 Highway 72, Salem, MO 65560-7217 | 2014-01-13 |
| 1891034229 | Qmb Radiology LLC | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2013-02-05 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1255661690 | Radex, Inc | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
| Find all providers in zip 65560 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821342429 | Stephanie Nicole Reedy | General Practice | 2515 Liberty St Ne, Salem, OR 97301-8386 | 2012-11-04 |
| 1427207265 | John M Vargo | General Practice | 4305 Camas Ct Ne, Salem, OR 97305-2207 | 2008-09-17 |
| 1275797417 | Lagrand Johnson | General Practice | 326 Highway 6, Salem, UT 84653-5620 | 2008-07-16 |
| 1235392242 | John Mark Pozar | General Practice | 998 Capitol St Ne, Salem, OR 97301-1201 | 2008-07-09 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1104028364 | Ivan Dassenko | General Practice | 6810 Canyon St Se, Salem, OR 97317-9024 | 2007-06-01 |
| 1073668935 | Terence H Young | General Practice | 1205 Wallace Rd Nw, Salem, OR 97304-3007 | 2007-01-23 |
| 1639243348 | Thomas R Howard | General Practice | 567 Salem Quinton Rd, Ste C, Salem, NJ 08079-1255 | 2006-11-17 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1316456965 | Anton Dubrick Md Sc | General Practice | 420 W Schwartz St, Salem, IL 62881-1552 | 2017-09-27 |
| Find all providers in SALEM | ||||
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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.