ROBERT WATSON FORD


Address: 111 S 11th St, Philadelphia, PA 19107-4824
Phone: 2159556000

ROBERT WATSON FORD (NPI# 1265875314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265875314
Entity Type Individual
Full Name ROBERT WATSON FORD
Credential MD
Practice Address 111 S 11th St
Philadelphia
PA 19107-4824
Mailing Address 1025 Walnut St
Suite 801
Philadelphia
PA 19107-5001
Practice Telephone 2159556000
Mailing Telephone 2159558768
Mailing Fax Number 2159553890
Enumeration Date 2013-04-08
Last Update Date 2019-12-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD466990 PA Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MT204522 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
10800 Knights Rd, Philadelphia, PA 191144200 2156124811
380 N Oxford Valley Rd, Langhorne, PA 190478304 2159495111
4900 Frankford Ave, Philadelphia, PA 191242618 2158312063
833 Chestnut St, Suite 301, Philadelphia, PA 191074414 2159556180 2159556410

Other Providers ROBERT FORD

NPI Name Taxonomy Address Enumeration
1255816237 Robert Ford Pharmacist 602 Marseille Ct, Jacksonville, NC 28546-6121 2018-09-26
1790215960 Robert Ford Jr. Home Health Aide 896 Wicket Dr, Akron, OH 44307-2214 2017-06-19
1174657480 Robert Anthony Ford Case Manager/Care Coordinator 525 Oxford St., Fort Wayne, IN 46806 2007-03-16
1598829095 Robert Craig Ford Dentist 5300 Topanga Canyon Blvd, Woodland Hills, CA 91364-1718 2006-12-20
1114090230 Robert Howard Ford II Nurse Anesthetist, Certified Registered 2823 Fresno & R Street, Fresno, CA 93721-1365 2006-11-16
1790749471 Robert William Ford Optometrist 300 West Ave, Oak Orchard Community Health Center, Brockport, NY 14420 2006-04-12
1790753242 Robert Emil Ford Family Medicine 2828 S Tamiami Trl, Sarasota, FL 34239-5103 2006-03-10
1548615016 Robert Earl Ford Counselor 4200 Rocklin Rd Ste 1, Rocklin, CA 95677-2860 2016-05-03
1790153427 Robert Alan Ford Marriage & Family Therapist 4760 Sepulveda Blvd, Culver City, CA 90230-4820 2015-09-11
1710324116 Robert Virgil Ford IIi Family Medicine 7211 Wellington Dr Ste 201, Knoxville, TN 37919-5968 2013-05-27

Office Location

Street Address 111 S 11TH ST
City PHILADELPHIA
State PA
Zip Code 19107-4824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346246642 Flavius F. Guglielmo Radiology 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 2005-06-22
1265046569 Sherman John Torres Nurse Anesthetist, Certified Registered 111 S 11th St, Philadelphia, PA 19107-4824 2020-09-03
1609489376 Andrew Michael Mcguire Registered Nurse 111 S 11th St, Philadelphia, PA 19107-4824 2020-08-24
1326657420 Daniel Joseph Leehan Pharmacist 111 S 11th St, Philadelphia, PA 19107-4824 2020-07-24
1013539436 Kashyap Rajendra Chauhan Internal Medicine 111 S 11th St, Philadelphia, PA 19107-4824 2020-05-07
1134749385 Maria Mattioli Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-04-17
1598392151 Amine Sahmoud Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-24
1346877198 Abigail M O'connell Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-23
1396370342 Alexandra Elder Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-10
1134754252 Christopher James Neely Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184854531 John Yoon Radiology 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 2009-07-20
1144423096 Jonathan Ira Lieberman Radiology 1016 Chestnut St, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5010 2007-06-07
1336188945 David R. Hertzog Radiology 2412 W Passyunk Ave, Philadelphia, PA 19145-4114 2006-06-06
1760441760 James Frederick Mcguckin Jr. Radiology 2929 Arch Street, Suite 1705, Philadelphia, PA 19104-2866 2006-03-20
1588639819 American Access Care of Sp LLC Radiology 2412-14 West Passyunk Ave., Philadelphia, PA 19145-4114 2006-02-21
1104816453 Huynh Doan Radiology Broad & Vine St, Philadelphia, PA 19102 2005-10-27
1174513105 Mark Hysell Radiology Broad & Vine St S, Philadelphia, PA 19102 2005-10-21
1699774257 Image Guided Surgery Associates, PC Radiology 5735 Ridge Ave, Ste 106, Philadelphia, PA 19128-1745 2005-07-17
1033753405 Stc Pediatrics LLC Radiology 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-29
1033670153 Jung Hyun Yun Radiology 5501 Old York Road, Philadelphia, PA 19141 2019-03-29
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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