Larry Creed Ford Jr. (NPI# 1144434788, PAC ID# 7012193287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
Nation Provider ID (NPI) | 1144434788 |
PAC ID by PECOS | 7012193287 |
Professional Enrollment ID | I20110524000390 |
Full Name | Larry Creed Ford Jr. |
Organization Legal Name | IHC HEALTH SERVICES INC |
Address |
395 W Bulldog Blvd Provo UT 84604-3331 |
Gender | M |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 2005 |
Primary Specialty | INFECTIOUS DISEASE |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 1850209420 |
Number of Group Practice Members | 2290 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460001 | UTAH VALLEY HOSPITAL |
460023 | AMERICAN FORK HOSPITAL |
460043 | OREM COMMUNITY HOSPITAL |
461304 | CENTRAL VALLEY MEDICAL CENTER - CAH |
Address | Phone | Organization |
---|---|---|
700 S Hwy 99, Suite 3, Fillmore, UT 84631-5137 | 4357435555 | IHC HEALTH SERVICES INC |
1034 N 500, Provo, UT 84604-3380 | IHC HEALTH SERVICES INC | |
1034 N 500, Suite E388, Provo, UT 84604-3380 | 8013578310 | IHC HEALTH SERVICES INC |
395 W Bulldog Blvd, Provo, UT 84604-3331 | IHC HEALTH SERVICES INC |
Organization Legal Name | IHC HEALTH SERVICES INC |
Physicians | 2509 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
Street Address |
395 W BULLDOG BLVD |
City | PROVO |
State | UT |
Zip | 84604-3331 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard D Mcwhorter | Urology | Ihc Health Services Inc | 395 W Bulldog Blvd, Provo, UT 84604-3333 |
Tyson Charles Schwab | Family Medicine | Ihc Health Services Inc | 395 W Bulldog Blvd, Suite 205, Provo, UT 84604-3328 |
James Thomas Dane | Thoracic Surgery | Ihc Health Services Inc | 395 W Bulldog Blvd, Provo, UT 84604-3323 |
Stephen C Peters | Psychologist, Clinical | Ihc Health Services Inc | 395 W Bulldog Blvd, Provo, UT 84604-3331 |
Benjamin Reed Fogg | Family Medicine | Ihc Health Services Inc | 395 W Bulldog Blvd, Suite 205, Provo, UT 84604-3328 |
Marilee Slade | Nurse Practitioner | Ihc Health Services Inc | 395 W Bulldog Blvd, Provo, UT 84604-3333 |
Damon H Bell | Nurse Practitioner | Ihc Health Services Inc | 395 W Bulldog Blvd, Provo, UT 84604-3331 |
Eileen M Booth | Psychologist, Clinical | Ihc Health Services Inc | 395 W Bulldog Blvd, Provo, UT 84604-3331 |
Matthew Kirk Money | Otolaryngology | Ihc Health Services Inc | 395 W Bulldog Blvd, Provo, UT 84604-3323 |
Nathan T Rich | Medical Oncology | Utah Cancer Specialists PC | 395 W Bulldog Blvd, Suite 103, Provo, UT 84604 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
James G Theurer | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
Todd B Engen | Ophthalmology | 1735 N State St, Suite 201, Provo, UT 84604-1010 | |
Dell C Morris | Optometry | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
William S Lohner | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
Jared T Clegg | Podiatry | Utah Podiatry Group, P.C. | 1973 N State St, Provo, UT 84604-1012 |
Stephanie Wilson | Physician Assistant | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Shelly L Savage | Family Medicine | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Natalie K Thompson | Nurse Practitioner | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Shelley Day | Nurse Practitioner | Aaron Robinson Do Pllc | 1900 N State St, Provo, UT 84604-1305 |
Aaron M Robinson | Family Medicine | Aaron Robinson Do Pllc | 1900 N State St, Provo, UT 84604-1305 |
Find all physicians in zip 84604 |
City | PROVO |
Zip Code | 84604 |
Specialty | INFECTIOUS DISEASE |
City + Specialty | PROVO + INFECTIOUS DISEASE |
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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.