MALCOLM FORD (NPI# 1245771211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245771211 |
| Entity Type | Individual |
| Full Name | MALCOLM FORD |
| Credential | AT |
| Practice Address |
4650 Hills and Dales Rd Nw Canton OH 44708-6220 |
| Practice Telephone | 3304919675 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-4174 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679827364 | Malcolm Ford | Counselor | 7600 Greenhaven Dr, Sacramento, CA 95831-5604 | 2012-11-01 |
| Street Address |
4650 HILLS AND DALES RD NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094210 | John R Garton | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2005-06-22 |
| 1174176176 | Eric Williams | Physical Therapy Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2019-07-18 |
| 1366914939 | Kinga Karacson | Physician Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2018-12-20 |
| 1407392327 | Amy Wellin | Physician Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2017-01-17 |
| 1265835102 | Tammy Lynn Micco | Nurse Practitioner | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2014-10-07 |
| 1235544198 | Bhavnish Bucktowarsing | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2014-06-30 |
| 1811230956 | Olivia Myers | Physician Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2013-03-27 |
| 1568702702 | Genevieve M Baumgardner | Physical Therapist | 4650 Hills and Dales Rd Nw, Suite 100, Canton, OH 44708-6220 | 2013-02-26 |
| 1760788368 | Dayanand Makey | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2011-01-31 |
| 1104133321 | Laura R. Pierce | Nurse Practitioner | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2010-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1467070524 | Tyler Thomas Harvey | Specialist/Technologist | 1221 Valleyview Ave Sw, Canton, OH 44710-1427 | 2020-07-06 |
| 1093353443 | Kelsey Rasky | Specialist/Technologist | 501 Kings Way, Canton, MI 48188-1188 | 2019-12-17 |
| 1811538531 | Amanda Leigh Hambrick | Specialist/Technologist | 551 Winder Trl, Canton, GA 30114-7539 | 2019-10-03 |
| 1710528823 | Gina C Lee | Specialist/Technologist | 332 Jetta Ln, Canton, GA 30115-8614 | 2019-10-01 |
| 1689223521 | Judith Chancey | Specialist/Technologist | 150 Lake Reserve Way, Canton, GA 30115-4784 | 2019-09-04 |
| 1922654169 | Martin W Kidder | Specialist/Technologist | 270 E Hill Rd, Canton, CT 06019-2117 | 2019-08-14 |
| 1700438363 | Ryan Gernert | Specialist/Technologist | 5323 Gardendale Ave Ne, Canton, OH 44714-1042 | 2019-07-14 |
| 1508345158 | Bridgette Idette Banks | Specialist/Technologist | 111 Hickory Knoll Dr Apt 401, Canton, GA 30114-2444 | 2018-08-13 |
| 1851884001 | Matthew Gee | Specialist/Technologist | 514 Haley Farm Rd, Canton, GA 30115-6176 | 2018-06-12 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.