JEFFERY D FORD (NPI# 1912072869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912072869 |
| Entity Type | Individual |
| Full Name | JEFFERY D FORD |
| Credential | DC |
| Practice Address |
1 James St Pulaski NY 13142 |
| Mailing Address |
Po Box 149 1 James St Pulaski NY 13142-0149 |
| Practice Telephone | 3152984399 |
| Practice Fax Number | 3152984399 |
| Mailing Telephone | 3152984399 |
| Mailing Fax Number | 3152984399 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X0047031 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 000013786 | 01 | |
| GHI | 0012404 | 01 | |
| AETNA | 4583537 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598843476 | Jeffery Brian Ford Sr. | Optometrist | 1963 Walnut St, Montgomery, AL 36106-1532 | 2006-11-01 |
| 1487073680 | Jeffery J Ford | Emergency Medicine | 1310 Mccullough Ave, San Antonio, TX 78212-5601 | 2014-04-15 |
| 1326008632 | Jeffery C Ford | Internal Medicine | 1750 Laurel St, Columbia, SC 29201-2625 | 2006-03-23 |
| Street Address |
1 JAMES ST |
| City | PULASKI |
| State | NY |
| Zip Code | 13142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740461904 | William C. Buck | Pharmacist | 4767 Salina Street, Pulaski, NY 13142 | 2007-11-16 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1427189638 | Jay F Sullivan Md PC | Family Medicine | 4882b North Jefferson St, Pulaski, NY 13142 | 2007-03-08 |
| 1932239605 | Angela L Christmas-mattison | Social Worker | 4 Hubble Street, Pulaski, NY 13142 | 2007-03-06 |
| 1518078716 | Smile Factory Inc | Dentist | 20 Bridge Street, Pulaski, NY 13142 | 2006-08-31 |
| 1861426413 | Jay Frederick Sullivan | Family Medicine | 4882b North Jefferson Street, Pulaski, NY 13142 | 2006-07-10 |
| 1710469416 | Megan Lee Phillips | Pharmacist | 3873 Rome Rd, Pulaski, NY 13142 | 2018-08-30 |
| 1689058489 | Podiatry Services of Central New York, PC | Podiatrist | 61 Delano Street, Pulaski, NY 13142 | 2015-07-13 |
| 1922420587 | Dawn Rung | Social Worker | 61 Delano St, Pulaski, NY 13142 | 2014-01-15 |
| 1417048224 | Linda Kuhns Troia | Counselor | 61 Delano St, Pulaski, NY 13142 | 2006-09-27 |
| Find all providers in zip 13142 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096303 | Back At Em Chiropractic, Plcc | Chiropractor | 4894 N Jefferson St, Pulaski, NY 13142-4124 | 2020-03-02 |
| 1942548623 | Alfred Judson Farrier | Chiropractor | 438 N 1st St, Suite A, Pulaski, TN 38478-2446 | 2013-01-30 |
| 1356412274 | John Edward Taylor | Chiropractor | 611 S 1st St, Pulaski, TN 38478-4201 | 2006-11-13 |
| 1235208232 | Gloria M Krumrai | Chiropractor | 415 S Wisconsin St, Pulaski, WI 54162 | 2006-11-06 |
| 1871662874 | Dale John Krumrai | Chiropractor | 415 S Wisconsin Ave, Pulaski, WI 54162-0143 | 2006-11-06 |
| 1457455727 | Lorraine C Bailey | Chiropractor | 1119 E. College St, Suite 4, Pulaski, TN 38478 | 2006-09-08 |
| 1285684233 | Roger D Bailey | Chiropractor | 1187 W College St, Suite 4, Pulaski, TN 38478-3648 | 2006-05-11 |
| 1356741318 | Foothills Chiropractic Clinic PC | Chiropractor | 101 1st St Nw, Suite 1b, Pulaski, VA 24301-5605 | 2014-08-27 |
| 1154525863 | Roger D. Bailey Dc Pllc | Chiropractor | 1119 E College St, Suite 4, Pulaski, TN 38478-4563 | 2007-06-14 |
| 1326196106 | Thomas M Bender | Chiropractor | 611 S 1st St, Pulaski, TN 38478-4201 | 2007-01-08 |
| Find all providers in PULASKI | ||||
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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.