Dr. Tasha J Ford
Emergency Physician Pediatric Emergency Physician
877 Jefferson Ave
Memphis
, Tennessee 38103-2807
Dr. Tasha J Ford
Emergency Physician Pediatric Emergency Physician
877 Jefferson Ave
Memphis
, Tennessee 38103-2807
(901) 545-8998
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Tasha J Ford
- 842 Jefferson Ave Suite A645
- Memphis, TN
- Zip : 38103-2808
- Fax : (901) 545-8998
- Phone : (901) 545-8699
Second Address
- Dr. Tasha J Ford
- 877 Jefferson Ave
- Memphis, TN
- Zip : 38103-2807
- Fax : (901) 545-8998
- Phone : (901) 545-8699
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 31431 | TN |
| N | 207PP0204X | Pediatric Emergency Physician | 31431 | TN |
National Provider Identifier
| NPI | 1205836566 |
|---|---|
| Provider Name | Dr. Tasha J Ford |
| First Address | Memphis, TN 38103-2808 |
| Second Address | Memphis, TN 38103-2807 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 13/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3633676 | (05) | TN |
| H02756 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.