Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Richard Ford

Individual provider Surgical Physician Assistant · NPI 1265193148

Samuel Richard Ford is a Physician Assistant in Bangor, Maine. Qualified in 2023, 3 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
3
Licensed in
ME
In the registry since
2022
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Practice location Address checks out

925 Union St Ste 3
Bangor, ME 04401-3051
Phone: (207) 973-9980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2618 (ME)

Record details

NPI number1265193148
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address925 Union St Ste 3, Bangor, ME 04401-3051

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bangor