KIMBERLY JO FORDHAM (NPI# 1376568808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376568808 |
| Entity Type | Individual |
| Full Name | KIMBERLY JO FORDHAM |
| Other Name | KIMBERLY JO MELDE |
| Credential | MD |
| Practice Address |
21337 Bush Street Middletown CA 95461-1519 |
| Mailing Address |
Po Box 1519 21337 Bush Street Middletown CA 95461-1519 |
| Practice Telephone | 7079873311 |
| Practice Fax Number | 7079872455 |
| Mailing Telephone | 7079873311 |
| Mailing Fax Number | 7079872455 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A78858 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881127173 | Kimberly Marie Fordham | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2017-04-04 |
| Street Address |
21337 BUSH STREET |
| City | MIDDLETOWN |
| State | CA |
| Zip Code | 95461-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770911745 | Lynn Jordan | Registered Nurse | 21337 Bush Street, Middletown, CA 95461 | 2013-10-29 |
| 1063791028 | Adventist Health California Medical Group, Inc. | Family Medicine | 21337 Bush Street, Middletown, CA 95461 | 2011-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1285952929 | Deidre Anne O'malley | Acupuncturist | 21128 Calistoga St., Suite A, Middletown, CA 95461 | 2010-05-05 |
| 1760502868 | Laura Goates Hobson | Acupuncturist | 10685 Sycamore Road, Loch Lomond, CA 95461 | 2007-03-30 |
| 1558418483 | Elizabeth Montgomery | Marriage & Family Therapist | 21050 Bush St., Middletown, CA 95461 | 2007-01-04 |
| 1417027319 | Sheila Safarian | Dentist | 21128 Calistoga Road, #0123, Middletown, CA 95461 | 2006-11-08 |
| 1972593788 | Adventist Health Clearlake Hospital Inc. | Clinic/Center | 21337 Bush St, Middletown, CA 95461 | 2005-10-24 |
| 1194154377 | Kate Newman | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-11-07 |
| 1699102004 | Daylen Cecil Roberts | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-09-30 |
| 1225465941 | Joseph Edward Lupfer | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461-0626 | 2013-09-27 |
| 1114315348 | Bonnie O'donnell | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461-0626 | 2014-12-22 |
| Find all providers in zip 95461 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748746 | Khalilah Williams-perry | Family Medicine | 20 Tammy Dr, Middletown, NY 10941-2052 | 2019-12-26 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1952832164 | Emmet Theodore Fenichel | Family Medicine | 18 Leonardville Rd, Middletown, NJ 07748-2311 | 2017-03-21 |
| 1346604774 | Austin James Williams | Family Medicine | 6147 State Route 122, Ste 200, Middletown, OH 45005-5201 | 2016-04-12 |
| 1174965412 | Home Medical Office, P.C. | Family Medicine | 18 Orchard St Ste 100, Middletown, NY 10940-5005 | 2013-07-29 |
| 1801121991 | Pamela Jean Hanson | Family Medicine | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2009-10-07 |
| 1053542068 | Jenny Q. Lu, M.d., Pllc | Family Medicine | 75 Crystal Run Rd Ste 105, Middletown, NY 10941-7003 | 2009-08-07 |
| 1396974556 | Mvhe Inc | Family Medicine | 253 N Breiel Blvd, Middletown, OH 45042-3807 | 2009-07-09 |
| 1073794665 | Zoila Cartaya | Family Medicine | 345 Stony Ford Rd, Middletown, NY 10941-3952 | 2007-11-25 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 95461 |
Please comment or provide details below to improve the information on KIMBERLY JO FORDHAM.
| 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.