| Henri Ronald Ford, MD | |
|
1611 Nw 12th Ave, Miami, FL 33136 | |
| (305) 585-5437 | |
| Not Available |
| Full Name | Henri Ronald Ford |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1611 Nw 12th Ave, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023100310 | NPI | - | NPPES |
| 00G874050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME136894 (Florida) | Primary |
| 2086S0120X | Surgery - Pediatric Surgery | G87405 (California) | Secondary |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Henri Ronald Ford, MD 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 585-5437 | Henri Ronald Ford, MD 1611 Nw 12th Ave, Miami, FL 33136 Ph: (305) 585-5437 |
Dr. Gladys Linda Giron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-2000 |
Dr. Ascension M Torres, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11760 Sw 40th St, Suite 722, Miami, FL 33175 Phone: 305-559-1883 Fax: 305-559-1887 |
Dr. Tihesha L Wilson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3641 S Miami Ave, Suite 331, Miami, FL 33133 Phone: 305-285-5040 Fax: 305-285-5039 |
Kenneth P Stahl, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Box 016960, Miami, FL 33136 Phone: 305-585-1288 Fax: 305-585-1020 |
Dr. Nivedh Venkat Paluvoi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 Nw 14th St Fl 4, Miami, FL 33136 Phone: 305-243-9110 |
Christopher M Craft, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8720 N Kendall Dr, Suite 112, Miami, FL 33176 Phone: 305-271-5097 |
Miss Linda V. Velasquez, MD Surgery Medicare: Medicare Enrolled Practice Location: 11750 Bird Rd, Miami, FL 33175 Phone: 305-223-2000 Fax: 305-227-5556 |