Jason L Ford (NPI# 1063463933, PAC ID# 0446270474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1063463933 |
| PAC ID by PECOS | 0446270474 |
| Professional Enrollment ID | I20051205000819 |
| Full Name | Jason L Ford |
| Organization Legal Name | GREAT LAKES ANESTHESIA PC |
| Address |
1004 Pkwy Ave Suite A Elkhart IN 46516-9349 |
| Phone Number | 5745229922 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648183442 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 | 5745229922 | GREAT LAKES ANESTHESIA PC |
| 31 N Saint Joseph Ave, Niles, MI 49120-2207 | 2696871879 | EDEN ANESTHESIA SERVICES INC |
| 1915 Lake Ave, Plymouth, IN 46563-9366 | 5749484000 | GREAT LAKES ANESTHESIA PC |
| Organization Legal Name | GREAT LAKES ANESTHESIA PC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam D Simpson | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| William A Jones | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Scott Michael Sondgerath | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 500 Arcade Ave, Suite 100, Elkhart, IN 46514-2478 |
| Rodrigo Garcia | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Breann M Kutzer Mcmanus | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Marlene Dee Ford | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Reed Stockman | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Walter V Spasevski | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Robert J Colcord | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Norma R Odar | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Street Address |
1004 PKWY AVE SUITE A |
| City | ELKHART |
| State | IN |
| Zip | 46516-9349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam D Simpson | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| William A Jones | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Randall Cammenga | Emergency Medicine | Cleanslate Medical Group of Indiana LLC | 1004 Pkwy Ave, Elkhart, IN 46516-9348 |
| Rodrigo Garcia | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Breann M Kutzer Mcmanus | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Marlene Dee Ford | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Reed Stockman | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Nichole Mcdowell | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Woo C Park | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| William J Granger Iv | Anesthesiology | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Mirante | Clinical Social Worker | 126 W Lexington Ave, Elkhart, IN 46516-3161 | |
| Jeffery A Mark | General Surgery | 515 S 2nd St, Elkhart, IN 46516-3224 | |
| James B Harris | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Peter M Carney | Neurosurgery | 244 Waterfall Dr, Elkhart, IN 46516-3668 | |
| Christina O Barnes | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Barbara Stitt | Nurse Practitioner | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Lorraine D Swartzentruber | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Essam A Montasir | Internal Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Kenneth S Bethel | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Mary P Mcmanmon | Family Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Find all physicians in zip 46516 | |||
| City | ELKHART |
| Zip Code | 46516 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ELKHART + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jason L Ford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.