FORD CENTER FOR PAIN MANAGEMENT
NPI 1619009065
Pain Medicine - Interventional Pain Medicine in Cleveland, TN

NPI Status: Active since March 12, 2007

Contact Information

2020 KEITH ST NW
STE C
CLEVELAND, TN
ZIP 37311
Phone: (423) 614-0535
Fax: (423) 614-0545

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance
  • CLIA Number: 44D1041380
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-05-2025

About FORD CENTER FOR PAIN MANAGEMENT

This page provides the complete NPI Profile along with additional information for Ford Center For Pain Management, a provider established in Cleveland, Tennessee operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1619009065 assigned on March 2007. The practitioner's primary taxonomy code is 208VP0014X with license number 1196 (TN). The provider is registered as an organization and their NPI record was last updated 16 years ago. Ford Center For Pain Management operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dennis C. Ford Md (Owner Supervising M.d.)

NPI
1619009065
Provider Name
FORD CENTER FOR PAIN MANAGEMENT
Entity Type
Organization
Location Address
2020 KEITH ST NW STE C CLEVELAND, TN 37311
Location Phone
(423) 614-0535
Location Fax
(423) 614-0545
Mailing Address
2020 KEITH ST NW STE C CLEVELAND, TN 37311
Mailing Phone
(423) 614-0535
Mailing Fax
(423) 614-0545
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
04-28-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
1196
License State
TN
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

10501 (TN)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

12143 (TN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENNIS C. FORD MD

Authorized Official Title
OWNER SUPERVISING M.D.
Authorized Official Phone
(423) 614-0535

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3377550OTHER (01)TNMEDICARE GROUP
5108340001MEDICARE NSC (07)TN 
44D1041380OTHER (01)TNDEPT HEALTH CLIA
3377550MEDICAID (05)TN 
4041359OTHER (01)TNMD BLUE CROSS BLUE SHIELD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D1041380
Facility Type
Physician Office
Certificate Effective Date
October 06, 2023
Certificate Expiration Date
October 05, 2025
Laboratory Director
DR. DENNIS C. FORD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ford Center For Pain Management to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619009065, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 0 + 1 + 8 + 0 + 1 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1619009065.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Optometrist
2020 KEITH ST NW
CLEVELAND, TN 37311
Non-Pharmacy Dispensing Site
2020 KEITH ST NW, STE C
CLEVELAND, TN 37311
Optometrist
2020 KEITH ST NW
CLEVELAND, TN 37311
Optometrist
2020 KEITH ST NW
CLEVELAND, TN 37311
Optometrist
2020 KEITH ST NW
CLEVELAND, TN 37311
Optometrist
2020 KEITH ST NW
CLEVELAND, TN 37311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619009065, enumerated as an "organization" on March 12, 2007.

The provider is located at 2020 KEITH ST NW STE C CLEVELAND, TN 37311 and the phone number is (423) 614-0535.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.