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Active NPI 1992902266 Individual Practitioner Male Practitioner

Mark Fordham , CP

Prosthetist • Henderson, NC

Professional Overview & Biography Verified Profile Summary

Mark Fordham, CP is a registered healthcare professional specializing in Prosthetist in Henderson, NC. Practice services are available at 451 RUIN CREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

451 Ruin Creek Rd
Ste. 102

Henderson, NC 275362878

Telephone 2524362611
Associated Practice Facility / Clinic
🏢 Four County Eye Associates Facility NPI 1235140484

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Henderson, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Henderson, NC (234 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7795152 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Donald Johncour , CO, BOCP

Prosthetic/Orthotic Supplier

NPI 1386647584

Certified Orthotist, BOCP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2013

Registered at 451 RUIN CREEK RD, STE. 102, HENDERSON, NC 275362878 (Tel: 2524362611)

📍
Updated Business Mailing Address August 05, 2013

Registered at 451 RUIN CREEK RD, STE. 102, HENDERSON, NC 275362878 (Tel: 2524362611)

👤
Provider Name / Credentials Updated August 05, 2013

Recorded as MARK FORDHAM, CP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2013

Prosthetist

🟢
Initial NPI Registration & Enumeration June 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992902266
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2007
Last Update: August 05, 2013
Sole Proprietor: No

Mailing Address

451 Ruin Creek Rd, Ste. 102

Henderson, NC 275362878

Phone: 2524362611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.