Individual
DR. CARMEN MARIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 FAR WEST DR, HEARTLAND PEDIATRIC AND ADULT CARE SUITE 100, SAINT JOSEPH, MO 64506-3514
(816) 271-8110
(816) 271-8104
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-1066
(816) 271-6786
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2013013913
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184867855
—
MO
01
—
201074980A
KANSAS MEDICAID
KS
01
—
P01230396
RAILROAD MEDICARE
MO
Enumeration date
04/10/2009
Last updated
04/22/2022
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