IndividualActive
Timothy Ford, PA-C
NPI 1750709226 · Surgical Physician Assistant · South Charleston, WV
Provider details
- NPI number
- 1750709226
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 00429 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4605 Maccorkle Ave Sw
South Charleston, WV 25309-1311
Phone: (304) 766-3600
Approximate (ZIP-level) locationGet directions
Mailing address
11157 Charleston Rd
Red House, WV 25168
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2014-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.