DR. JASON M FORD


Address: 1111 Ronald Reagan Pkwy, Radiology Rm 11078, Avon, IN 46123-7085
Phone: 3177156402

DR. JASON M FORD (NPI# 1659555993) 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) 1659555993
Entity Type Individual
Full Name DR. JASON M FORD
Credential MD
Practice Address 1111 Ronald Reagan Pkwy
Radiology Rm 11078
Avon
IN 46123-7085
Mailing Address 714 N Senate Ave
Ste Ef100
Indianapolis
IN 46202-3763
Practice Telephone 3177156402
Practice Fax Number 3177156415
Mailing Telephone 3177156402
Enumeration Date 2007-12-21
Last Update Date 2010-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
01062397A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM BCBS 000000613014 01
IN RAILROAD MEDICARE P00742642 01
IN RAILROAD MEDICARE P00650447 01
IN 200911710 05

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1801981949 Jason Thomas Ford Dentist 70 Doctors Park Dr, Santa Rosa, CA 95405 2006-10-04
1871026708 Jason Ford Hospitalist 259 1st St, Mineola, NY 11501-3957 2017-04-07
1104163708 Jason Donald Ford Counselor 516 N Kaweah Ave, Exeter, CA 93221-1200 2013-01-16
1386932697 Jason D Ford Nurse Practitioner 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 2011-07-20
1154614295 Jason A Ford Dentist 155 Barnwood Dr, Edgewood, KY 41017-2585 2011-05-23
1679885792 Jason Lee Ford Massage Therapist 1165 Pearl St, Eugene, OR 97401-3521 2010-07-06
1467622449 Jason Edward Ford Dentist 2533 Larkin Rd, Suite 101, Lexington, KY 40503-3278 2008-03-06

Office Location

Street Address 1111 RONALD REAGAN PKWY
RADIOLOGY RM 11078
City AVON
State IN
Zip Code 46123-7085

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447249990 Chun L Ng Emergency Medicine 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2005-10-18
1558978353 Ann Allison Clinical Nurse Specialist 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2020-09-25
1841804549 Erica Newkirk Clinical Nurse Specialist 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2020-09-01
1750901302 Dawn M Hinshaw Pharmacy Technician 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2020-04-23
1518590504 Emily W Peat Registered Nurse 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2020-02-18
1679105878 Joni Ann Fiscus Dietitian, Registered 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2020-02-06
1215572979 Isioma Oladunni Nosegbe Physician Assistant 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2019-11-16
1053956656 Adam Jones Physician Assistant 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2019-11-07
1437717295 Vanessa D Scott Nurse Practitioner 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2019-06-05
1881250058 Olivia Lyn Beaver Nurse Practitioner 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2019-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669018669 Dienye Williams Pharmacist 108 North Sr 267, Avon, IN 46123 2019-11-25
1992353817 Debra Blackwell Technician 8198 Montage Ave, Apt 104, Avon, IN 46123 2019-09-04
1932675766 Blake Ponist Occupational Therapist 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 2018-10-19
1396238150 Sarah Sweany Dietitian, Registered Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 2018-06-07
1124516257 Sheree Itza Counselor 6655 E Us Highway 36 Ste 100, Avon, IN 46123 2018-04-24
1255860607 Jonathan Lambert Dentist 110 N Avon Ave B, Avon, IN 46123 2017-06-08
1023546629 10439 E Us Highway 36 Dental, LLC Dentist 10439 E Us Highway 36, Avon, IN 46123 2017-05-25
1902330756 Melissa Wheatley Occupational Therapy Assistant 6294 Forest View Court, Avon, IN 46123 2017-04-19
1932555844 Gal Marcan Family Medicine 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 2016-05-10
1962871301 Annette Joelene Oechsle Health Educator 1820 South County Road 525 East, Avon, IN 46123 2015-09-16
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336315571 Darlene Margareta Holden Radiology 35836 Ithaca Dr, Avon, OH 44011-1893 2008-05-07
1548298326 Herman David Coleman Radiology 96 Cold Spring Rd, Avon, CT 06001-4053 2006-06-29
1275592610 Jay Roland Duxin Radiology 18 James Ct, Avon, CT 06001-2988 2006-03-23
1538128608 Julie Steiner Gershon Radiology 20 Arch Rd., Avon, CT 06001-4202 2006-03-18
1114922812 Abner S Gershon Radiology 21 Arch Road, Invision Medical LLC, Avon, CT 06001-0001 2005-06-17
1043370174 Proscan Imaging of Indianapolis, LLC Radiology 5250 E Us Highway 36, Prestwick Pointe Suite 220, Avon, IN 46123-9199 2006-12-11
1164528543 American Health Network of Indiana, LLC Radiology 1115 Ronald Reagan Pkwy, Suite 224, Avon, IN 46123-6910 2006-09-15
1144271875 Jefferson Radiology Radiology 100 Simsbury Rd, Suite 101, Avon, CT 06001-3793 2006-05-15

Providers in the same taxonomy and state

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1588295448 Hassan Sawaf Radiology 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 2020-01-30
1326695479 Proscan Imaging of Greenwood, LLC Radiology 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 2019-08-23
1598235566 A Mri, LLC Radiology 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 2018-12-03
1033686639 Franciscan Physician Network Radiology 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 2018-11-01
1689141285 Franciscan Physician Network Radiology 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 2018-11-01
1598232241 Franciscan Physician Network Radiology 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 2018-10-31
1821571399 Premier Medical Imaging LLC Radiology 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 2018-09-11
1922594225 Lutheran Health Imaging LLC Radiology 1700 Alber St Ste 103, Wabash, IN 46992-1015 2018-07-10
1467964718 Columbus Radiology Physicians LLC Radiology 2400 E. 17th Street, Columbus, IN 47201 2017-10-26
1093166274 Medical Scanning Consultants, P.a. Radiology 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 2016-06-28
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City AVON
Zip Code 46123

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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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