TIMOTHY FORD PA-C
NPI 1750709226
Physician Assistant - Surgical in South Charleston, WV

Q: What is Timothy Ford's NPI number?

The NPI number for Timothy Ford is 1750709226. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is Timothy Ford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Ford was last updated on April 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment

4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-3600 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Timothy Ford Pa-c NPPES

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

TIMOTHY FORD PA-C (NPI 1750709226) is an individual surgical provider in South Charleston, West Virginia, licensed in West Virginia (00429) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1750709226

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTIMOTHY FORDCredential: PA-C

Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311

Mailing Address11157 Charleston RdRed House, WV 25168 · (304) 550-1343

Phone(304) 766-3600

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateApril 2, 2014

✔ NPI 1750709226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WV · 00429

4605 MACCORKLE AVE SW, South Charleston, WV 25309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Ford Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335463728

PECOS Enrollment IDI20150113000005

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

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

DUSTIN CRITES

Physician Assistant