MRS. DEBORAH WARE FORDHAM (NPI# 1679654693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679654693 |
Entity Type | Individual |
Full Name | MRS. DEBORAH WARE FORDHAM |
Credential | PA-C |
Practice Address |
1826 Veterans Boulevard Carl Vinson Va Medical Center Dublin GA 31021 |
Mailing Address |
Rr 1 Box 60-1 1127 Rebie Road Chester GA 31012-9538 |
Practice Telephone | 4782721210 |
Mailing Telephone | 4783584370 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002877 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PA-C NUMBER | 002877 | 01 |
NATIONAL NCCPA NUMBER | 1032004 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831433507 | Deborah A Fordham | Physical Therapy Assistant | 359 Jones Rd, Falmouth, MA 02540-3341 | 2012-11-19 |
Street Address |
1826 VETERANS BOULEVARD CARL VINSON VA MEDICAL CENTER |
City | DUBLIN |
State | GA |
Zip Code | 31021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
Find all providers in zip 31021 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023497989 | Jeffrey William Blitz | Physician Assistant | 7698 Scioto Crossing Blvd, Dublin, OH 43016-7660 | 2015-05-26 |
1629026117 | Lana K Lott | Physician Assistant | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-05-05 |
1588629802 | Patricia Kelly Bush | Physician Assistant | 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 | 2006-04-19 |
1023647450 | Amanda Mcguffin | Physician Assistant | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2020-04-07 |
1497188619 | Sharon D Tiernan-lang | Physician Assistant | 5701 8th St, Dublin, CA 94568-3305 | 2013-08-12 |
1760754683 | Kelly Johnson Bumgarner | Physician Assistant | 5720 Blazer Pkwy, Dublin, OH 43017-3566 | 2012-02-08 |
1821251034 | Dean Winslow Parsons | Physician Assistant | 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 | 2008-07-08 |
1568491215 | Julie M Molina | Physician Assistant | 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 | 2006-07-02 |
1093742140 | Jeffrey Robert Fisher | Physician Assistant | 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 | 2006-06-26 |
1891741575 | Dublin Emergency Physicians LLC | Physician Assistant | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2006-05-25 |
Find all providers in DUBLIN |
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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.