Healthcare Provider Details

I. General information

NPI: 1134427735
Provider Name (Legal Business Name): JOSHUA WAYNE FORD RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2011
Last Update Date: 03/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E EVERGREEN ST
CAMERON MO
64429-2400
US

IV. Provider business mailing address

8330 N SKILES AVE APT 332
KANSAS CITY MO
64158-7142
US

V. Phone/Fax

Practice location:
  • Phone: 816-649-3284
  • Fax:
Mailing address:
  • Phone: 816-294-7797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278G0305X
TaxonomyGeriatric Care Certified Respiratory Therapist
License Number2007035510
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2278P3900X
TaxonomyNeonatal/Pediatric Certified Respiratory Therapist
License Number2007035510
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number2007035510
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code2279E0002X
TaxonomyEmergency Care Registered Respiratory Therapist
License Number2007035510
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number2007035510
License Number StateMO
# 6
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number2007035510
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: