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NPI Code Detail

MEDICARE: DR. JOHN M FORD M.D.

MEDICARE: DR. JOHN M FORD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician12091NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10659310001OTHERNEDMERC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174567572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN M FORD M.D.
Provider Business Mailing Address
First Line : 1103 BUFFALO BND
Second Line : PO BOX 797
City : LEXINGTON
State : NE
Zip : 68850-1528
Country : US
Telephone Number : 308-324-6386
Fax Number : 308-324-6913
Provider Business Practice Location Address
First Line : 1103 BUFFALO BND
Second Line :
City : LEXINGTON
State : NE
Zip : 68850-1528
Country : US
Telephone Number : 308-324-6386
Fax Number : 308-324-6913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 05/22/2025

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