Jacinta K Ford (NPI# 1669776753, PAC ID# 1052591435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669776753 |
| PAC ID by PECOS | 1052591435 |
| Professional Enrollment ID | I20110203000015 |
| Full Name | Jacinta K Ford |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Address |
6255 Chambersburg Rd Huber Heights OH 45424-3873 |
| Phone Number | 9372337141 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860386349 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 | 9372337141 | PROVIDENCE MEDICAL GROUP |
| 2912 Springboro W, Moraine, OH 45439-1674 | PROVIDENCE MEDICAL GROUP |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Kay Edwards | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073 |
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Krista A Miller | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Meta Lisa Howard | Nurse Practitioner | Providence Medical Group | 400 Corporate Ctr Dr, Vandalia, OH 45377-1164 |
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Shane T Sampson | Family Medicine | Providence Medical Group | 2912 Springboro W, Moraine, OH 45439-1674 |
| Mary F Sroga | Nurse Practitioner | Providence Medical Group | 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 |
| James R Fisco | Family Medicine | Providence Medical Group | 70 Remick Blvd, Springboro, OH 45066-9168 |
| Street Address |
6255 CHAMBERSBURG RD |
| City | HUBER HEIGHTS |
| State | OH |
| Zip | 45424-3873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Edward A Hubach | Family Medicine | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Donald L Turner | Family Practice | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharat Kalvakota | Urology | Stephen Dona, D. O. | 8701 Troy Pike, 40b, Huber Heights, OH 45424-1048 |
| Jacob Yannetta | Vascular Surgery | Alliance Physicians Inc | 8701 Old Troy Pike, 40b, Huber Heights, OH 45424-1048 |
| William J Kessler | Ophthalmology | 8638 Troy Pike, Suite 104, Huber Heights, OH 45424-1051 | |
| Jessica Tipton | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 10, Huber Heights, OH 45424-1053 |
| Leigh A Taylor | Chiropractic | 8501 Troy Pike, Suite 190, Huber Heights, OH 45424-1054 | |
| Barbara A Bennett | Family Medicine | Providence Medical Group | 8701 Old Troy Pike, Suite 50, Huber Heights, OH 45424-1055 |
| Stephanie A Beeching | Nurse Practitioner | Providence Medical Group | 8701 Old Troy Pike, Suite 50, Huber Heights, OH 45424-1055 |
| Atindra N Chatterji | Internal Medicine | 8701 Troy Pike, Suite 70, Dayton, OH 45424-1055 | |
| Cecelia M Myers | Nurse Practitioner | Premier Health Urgent Care, Inc. | 8290 Old Troy Pike, Suite 40a, Huber Heights, OH 45424-1056 |
| Penny B Drazer | Nurse Practitioner | Premier Health Urgent Care, Inc. | 8290 Old Troy Pike, Suite 40a, Huber Heights, OH 45424-1056 |
| Find all physicians in zip 45424 | |||
| City | HUBER HEIGHTS |
| Zip Code | 45424 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HUBER HEIGHTS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacinta K Ford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.