FORD DERMATOLOGY, PLLC – NPI #1104763390
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

FORD DERMATOLOGY, PLLC is a dermatologist located in PADUCAH, KY. NPPES recently assigned the NPI number 1104763390 to FORD DERMATOLOGY, PLLC on May 04, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORD DERMATOLOGY, PLLC below.

NPI Profile for
FORD DERMATOLOGY, PLLC

NPI Number
1104763390
Enumeration Date

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORD DERMATOLOGY, PLLC
Primary location
3101 PARISA DR
PADUCAH, KY 42003-4584
Phone: (270) 408-1850 Fax:
2 Other location(s):
1710 Highway 121 Byp N Ste 1
Murray, KY 42071-8912
Phone: (270) 408-1850
105 TN-431 North
Suite 1
Martin, TN 38237
Phone: (270) 408-1850
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HALDEN FORD
OWNER
Phone: (270) 408-1850
Updated
Certification Date
May 04, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.