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NPI Code Detail

MEDICARE: MICHAEL J FORD MD

MEDICARE: MICHAEL J FORD MD
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
12084P0800XPsychiatry Physician2022027904MO

General Provider Information

NPI Number : 1386172831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J FORD MD
Provider Business Mailing Address
First Line : 2885 W BATTLEFIELD ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3952
Country : US
Telephone Number : 417-761-5000
Fax Number : 417-761-5011
Provider Business Practice Location Address
First Line : 3401 BERRYWOOD DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-8372
Country : US
Telephone Number : 417-761-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 05/13/2026

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