Organization Name: | JERALD M. FORD, M.D., PSC |
NPI Number: | 1326342304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERALD M FORD (PRESIDENT) |
Mailing Address: | 617 23rd St Suite 415 Ashland |
State: | KY US |
Postal Code: | 411012880 |
Phone Number: | 6063251200 |
Fax Number: | 6063249348 |
NPI Enumeration Date: | 01/05/2011 |
NPI Last Update Date: | 01/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 15865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |