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CLYDE DEJONG FORD M.D.
NPI 1568496958
Internal Medicine - Hematology & Oncology in Salt Lake City, UT

Active since July 10, 2006PECOS Enrolled
8 TH AVENUE AND C ST, BONE MARROW TRANSPLANT, SALT LAKE CITY, UT 84143(801) 408-3729(801) 408-8453 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clyde Dejong Ford M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE DEJONG FORD M.D. (NPI 1568496958) is an individual hematology & oncology provider in Salt Lake City, Utah, licensed in Utah (158790-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568496958
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameCLYDE DEJONG FORDCredential: M.D.
Location Address8 TH AVENUE AND C ST, BONE MARROW TRANSPLANTSalt Lake City, UT 84143-0001
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 535-8163 · Fax (801) 355-4011
Phone(801) 408-3729
Fax(801) 408-8453
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 26, 2011
✔ NPI 1568496958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in UT · 158790-1205
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
8 TH AVENUE AND C ST, Salt Lake City, UT 84143
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Other Names 1

Professional Name (2)Clyde D. Ford M.d.

Other Identifiers 6

Other107005107110UT · Select Health
Other6891UT · Dmba
Medicare PIN005545615UT
Other296662UT · Altius
Other91515UT · Pehp
Medicare UPIND20260UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clyde Dejong Ford M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODI LYNN MORTENSEN FNP
Nurse Practitioner (Family)
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-3858
MS. GAIL COPE HILTON LCSW
Social Worker (Clinical)
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-1296
KEVIN C SHILLING MD
Internal Medicine (Sleep Medicine)
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-3617
JESSICA SHIELDS MS, RD, CD
Dietitian, Registered
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-1760
BRIAN HARDY R.PH.
Pharmacist
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 520-4653
DR. MARK L MARTINEZ MD
Internal Medicine (Pulmonary Disease)
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-7100
DR. CHARLES MICHAEL AYERS MD
Hospitalist
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-5482
MICHELLE REGRUTO M.D.
Hospitalist
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-5482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Ford's NPI number?

The NPI number for Clyde Ford is 1568496958. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Clyde D. Ford M.D..

Where is Clyde Ford located?

Clyde Ford practices at 8 Th Avenue And C St Bone Marrow Transplant, Salt Lake City, UT 84143. The listed phone number is (801) 408-3729.

What is Clyde Ford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Clyde Ford enrolled in Medicare?

Yes. Clyde Ford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clyde Ford was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.