DIANE S. FORD (NPI# 1659553766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659553766 |
| Entity Type | Individual |
| Full Name | DIANE S. FORD |
| Credential | M.D. |
| Practice Address |
68 Thomas Johnson Dr Suite C Frederick MD 21702-4300 |
| Mailing Address |
Po Box 1924 Frederick MD 21702-0924 |
| Practice Telephone | 3016945292 |
| Practice Fax Number | 3016942319 |
| Mailing Telephone | 3016945292 |
| Mailing Fax Number | 3016942319 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
D0040701 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932547981 | Diane Marie Ford | Registered Nurse | 79 Kingsley Rd, Rochester, NY 14612-5419 | 2013-06-12 |
| 1700957263 | Diane Francis Ford | Acupuncturist | 2 Great Falls Plaza Unit 10, Auburn, ME 04210-5968 | 2006-11-13 |
| 1679530125 | Diane Marie Ford | Registered Nurse | 1397 Weimer Road, Taos, NM 87571 | 2006-04-27 |
| 1720570906 | Diane Kay Ford | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-06-04 |
| 1598102618 | Diane Elizabeth Ford | Pharmacist | 1451 Riverstone Pkwy, Canton, GA 30114-5624 | 2013-05-30 |
| 1922128420 | Diane Mary Ford | Pharmacist | 412 E 4th Ave, Tarentum, PA 15084-1810 | 2007-03-29 |
| 1861400426 | Diane Marie Ford | Nurse Practitioner | 1045 E Front St, Buchanan, MI 49107-8474 | 2006-08-03 |
| 1194731968 | Diane Marie Ford | Dietitian, Registered | 800 Irving Ave, Syracuse, NY 13210-2716 | 2006-07-31 |
| Street Address |
68 THOMAS JOHNSON DR SUITE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639141609 | Peter M Tan | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-03 |
| 1306024476 | Theresa Marie Gillis | Physician Assistant | 68 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4300 | 2008-01-31 |
| 1295897940 | Mark Mazin | Dentist | 68 Thomas Johnson Dr, Frederick, MD 21702-4300 | 2006-12-15 |
| 1467514117 | John Pinetti | Dentist | 68 Thomas Johnson Dr, Frederick, MD 21702-4300 | 2006-12-15 |
| 1811059561 | Glenn Pritchard | Dentist | 68 Thomas Johnson Dr, Frederick, MD 21702-4300 | 2006-12-15 |
| 1114039377 | Jen-john Inc | Dermatology | 68 Thomas Johnson Dr, Suite C, Frederick, MD 21702 | 2006-08-31 |
| 1710950399 | Mid-maryland Oral and Maxillofacial Surgery Pa | Clinic/Center | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-13 |
| 1871564567 | Ronald C Best | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Ste A, Frederick, MD 21702 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578742250 | Michael R. Warner Mdpa | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555780 | Amanda Lauren Pittillo | Dermatology | 9515 Deereco Rd Ste 208, Timonium, MD 21093-2153 | 2019-02-27 |
| 1609386531 | Tlc Obgyn and Cosmetic Services | Dermatology | 7414 Quail Ridge Ln, Bowie, MD 20720-4352 | 2017-10-05 |
| 1508103011 | Center for Dermatology and Dermatologic Surgery Management, LLC | Dermatology | 167 Jennifer Rd Ste W, Annapolis, MD 21401-7910 | 2013-01-04 |
| 1558535351 | Tania Rae Therese Peters | Dermatology | 5471 C2 Wisconsin Avenue, Suite 200, Chevy Chase, MD 20815 | 2008-04-14 |
| 1306999065 | Peter C Morse | Dermatology | 5425 Wisconsin Ave, Suite 702, Chevy Chase, MD 20815-3552 | 2007-01-18 |
| 1871514794 | Laurence H Miller Md Pa | Dermatology | 5454 Wisconsin Avenue, Suite #747, Chevy Chase, MD 20815-6901 | 2006-07-23 |
| 1073581344 | Lawrence J. Green | Dermatology | 9601 Blackwell Rd Ste 260, Rockville, MD 20850-6487 | 2006-03-10 |
| 1407845779 | James Kevin Poulton | Dermatology | 5233 King Ave, Ste 204, Baltimore, MD 21237-4003 | 2005-10-19 |
| 1306835681 | Nadine B Acri | Dermatology | 8100 Sandpiper Circle, Suite 208, White Marsh, MD 21236 | 2005-10-19 |
| 1053310789 | Sanders Harris Berk | Dermatology | 19221 Montgomery Village Ave, C-12, Montgomery Village, MD 20886-5022 | 2005-07-15 |
| Find all providers with the same taxonomy | ||||
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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.