DR. CHARLES R FORD (NPI# 1871693283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871693283 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R FORD |
| Credential | MD |
| Practice Address |
1815 E 19th St Suite 1 The Dalles OR 97058-3385 |
| Practice Telephone | 5412985563 |
| Practice Fax Number | 5412987746 |
| Mailing Telephone | 5412985563 |
| Mailing Fax Number | 5412987746 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD10654 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 064899 | 05 | |
| OR | REGENCE BLUE CROSS OF OR | 831523001 | 01 |
| WA | MEDICAID | 1313907 | 01 |
| RAILROAD MEDICARE | P00139667 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 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 |
| 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 |
1815 E 19TH ST SUITE 1 |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056324 | Columbia Gorge Ent, LLC | Otolaryngology | 1815 E 19th St, Suite 1, The Dalles, OR 97058-3365 | 2005-07-13 |
| 1083963573 | Providence Health & Services - Oregon | Otolaryngology | 1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 | 2012-08-30 |
| 1073870689 | James Patrick Petrusich | Audiologist | 1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 | 2012-04-19 |
| 1366628505 | James L Ferrer | Hearing Instrument Specialist | 1815 E 19th St, The Dalles, OR 97058-3385 | 2008-01-17 |
| 1932127412 | Matthew David Proctor | Otolaryngology | 1815 E 19th St, Ste 1, The Dalles, OR 97058-3385 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056324 | Columbia Gorge Ent, LLC | Otolaryngology | 1815 E 19th St, Suite 1, The Dalles, OR 97058-3365 | 2005-07-13 |
| 1083963573 | Providence Health & Services - Oregon | Otolaryngology | 1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 | 2012-08-30 |
| 1932127412 | Matthew David Proctor | Otolaryngology | 1815 E 19th St, Ste 1, The Dalles, OR 97058-3385 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1326467812 | Tyler Scott Weaver | Otolaryngology | 1508 Division St Ste 115, Oregon City, OR 97045-1584 | 2014-04-10 |
| 1013286822 | Lawrence Thomas Eschelman | Otolaryngology | 3585 Cherokee Dr S, Salem, OR 97302-9712 | 2011-12-22 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1134447741 | Aleen J Lee | Otolaryngology | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 | 2010-05-06 |
| 1811164262 | Carrie Maiorana Brown | Otolaryngology | 24076 Se Stark St Ste 230, Gresham, OR 97030 | 2008-05-14 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
| Find all providers with the same taxonomy | ||||
| City | THE DALLES |
| Zip Code | 97058 |
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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.