CHARLES RICHARD FORD (NPI# 1689801441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689801441 |
| Entity Type | Individual |
| Full Name | CHARLES RICHARD FORD |
| Credential | M.D. |
| Practice Address |
4742 Black Swan Drive Shawnee KS 66216 |
| Practice Telephone | 9132680265 |
| Practice Fax Number | 9137688210 |
| Mailing Telephone | 9132680265 |
| Mailing Fax Number | 9137688210 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 04-13088 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS STATE BOARD OF HEALING ARTS | 04-13088 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902047541 | Charles Thomas Ford | Acupuncturist | 40 Orchard Pl, Beacon, NY 12508-1828 | 2009-03-11 |
| 1528287950 | Charles Lester Ford IIi | Dentist | 3921 5th Ave N, St Petersburg, FL 33713-7522 | 2007-04-24 |
| 1275901092 | Charles Ford Jr. | Counselor | 1446 Ethan Way, Sacramento, CA 95825 | 2015-09-10 |
| 1831400449 | Charles D Ford Jr. | Emergency Medicine | 326 Asbury Ave, Ripley, TN 38063-5577 | 2010-06-29 |
| 1871693283 | Charles R Ford | Otolaryngology | 1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 | 2006-09-25 |
| 1669485272 | Charles V Ford | Psychiatry & Neurology | 619 19th Street South, Birmingham, AL 35233 | 2006-08-14 |
| 1205855939 | Charles Stephen Ford | Psychiatry & Neurology | 1814 Westchester Dr, Suite 401, High Point, NC 27262-7299 | 2006-07-19 |
| 1063451672 | Charles Davis Ford | Emergency Medicine | 631 Rb Wilson Dr, Huntingdon, TN 38344-1727 | 2006-06-06 |
| 1013972728 | Charles N Ford | Otolaryngology | 600 Highland Ave, Madison, WI 53792 | 2006-04-18 |
| 1164481727 | Charles W Ford Jr. | Otolaryngology | 870 State Farm Rd, Suite 101, Boone, NC 28607-4861 | 2006-03-22 |
| Street Address |
4742 BLACK SWAN DRIVE |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| 1396253191 | Tyler Young, O.d., P.a. | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2018-01-14 |
| Find all providers in zip 66216 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053641274 | William Albert Pilchard | Ophthalmology | 14629 W 49th Terrace, Shawnee, KS 66216-5126 | 2010-01-11 |
| 1326013251 | Aaron R Florkowski | Ophthalmology | 21620 Midland Dr, Ste B, Shawnee, KS 66218-9064 | 2006-02-22 |
| 1366432361 | Robert Wayne Thompson Jr. | Ophthalmology | 11005 W 60th St Ste 210, Shawnee, KS 66203-2789 | 2005-10-21 |
| 1841286226 | John Albert Robinson | Ophthalmology | 501 E Macarthur St, Shawnee, OK 74804-2201 | 2005-09-21 |
| 1396814943 | Robinson Eye Institute Pllc | Ophthalmology | 501 E Macarthur St, Shawnee, OK 74804-2201 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211728 | Ft Scott Surgery Center LLC | Ophthalmology | 916 Us 69, Fort Scott, KS 66701 | 2020-09-25 |
| 1770016727 | Ad Astra Eye, LLC | Ophthalmology | 17795 W 106th St Ste 202, Olathe, KS 66061-3155 | 2017-04-06 |
| 1992152698 | Stanley Lowe | Ophthalmology | 2025 College Heights Rd, Manhattan, KS 66502-3505 | 2016-05-23 |
| 1750778791 | Heartland Eye Care, LLC | Ophthalmology | 619 Sw Corporate Vw, Topeka, KS 66615-1233 | 2015-04-16 |
| 1245572916 | Daniel Lawrence Feiler | Ophthalmology | 9301 West 74th Street, Suite 210, Shawnee Mission, KS 66204-2235 | 2013-03-20 |
| 1235473448 | Prn Imaging, LLC | Ophthalmology | 10851 Mastin St Ste 100, Overland Park, KS 66210-1608 | 2012-11-15 |
| 1861744716 | Prn Billing LLC | Ophthalmology | 10851 Mastin St, Suite 100, Overland Park, KS 66210-1769 | 2012-10-02 |
| 1760779722 | Mary T Champion | Ophthalmology | 7400 State Line Rd Ste 100, Prairie Village, KS 66208-3447 | 2011-06-28 |
| 1811295256 | William Frederick Case | Ophthalmology | 4705 W 152nd St, Leawood, KS 66224-9726 | 2011-03-09 |
| 1326368408 | Raymond E Kandt Jr. | Ophthalmology | 4950 W 88th St, Prairie Village, KS 66207-2257 | 2010-06-10 |
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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.