MS. SUSAN CALLAWAY FERGUSON (NPI# 1093756678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093756678 |
| Entity Type | Individual |
| Full Name | MS. SUSAN CALLAWAY FERGUSON |
| Credential | MD |
| Practice Address |
616 16th St Oakland CA 94612 |
| Mailing Address |
616 16th St Oakland Ca CA 94612 |
| Practice Telephone | 5104514270 |
| Practice Fax Number | 5104514285 |
| Mailing Telephone | 5104514270 |
| Mailing Fax Number | 5104514285 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A68471 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A68471 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659635829 | Susan Rene Ferguson | Physician Assistant | 5982 Berryhill Rd, Suite B, Milton, FL 32570-4001 | 2012-07-02 |
| 1427327402 | Susan Katherine Ferguson | Registered Nurse | 34 Highwood Dr, Northport, NY 11768-2216 | 2011-12-21 |
| 1124242052 | Susan Ferguson | Speech-Language Pathologist | 9299 Hames Rd, Pilot Point, TX 76258-6831 | 2007-04-12 |
| 1518180967 | Susan Ferguson | Speech-Language Pathologist | 210 Summerwood Dr, Searcy, AR 72143-8445 | 2007-04-11 |
| 1184705949 | Susan 'dede' Ferguson | Counselor | 327 Tynebrook Ln, Houston, TX 77024-7429 | 2006-10-18 |
| 1609989250 | Susan Portis Ferguson | Family Medicine | 106 E Park St, Lincoln, AR 72744-8706 | 2006-08-17 |
| 1821004953 | Susan Gainey Ferguson | Pharmacist | 1101 Lakeway Dr Apt C, Lakeway, TX 78734-4453 | 2006-07-31 |
| 1043592256 | Susan Ferguson | Pharmacist | 6701 Frank Ave Nw, North Canton, OH 44720-7268 | 2011-09-13 |
| 1215104179 | Susan E H Ferguson | Internal Medicine | 700 S Park St, Madison, WI 53715-1830 | 2008-05-09 |
| 1275682916 | Susan Ivey Ferguson | Counselor | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2007-01-10 |
| Street Address |
616 16TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167360 | Britta Charlene Nelson | Physician Assistant | 616 16th St, Oakland, CA 94612-1205 | 2006-03-10 |
| 1952943979 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 616 16th St, Oakland, CA 94612-1205 | 2019-10-10 |
| 1629425004 | Jared Thomas Bunde | Registered Nurse | 616 16th St, Oakland, CA 94612-1205 | 2016-05-16 |
| 1134537244 | Kirsten Flagg | Nurse Practitioner | 616 16th St, Oakland, CA 94612-1205 | 2014-08-01 |
| 1578808390 | Cheryll May Villamor-macintyre | Community/Behavioral Health | 616 16th St, Oakland, CA 94612-1205 | 2012-12-05 |
| 1821344003 | Skylar Loeb | Registered Nurse | 616 16th St, Oakland, CA 94612-1205 | 2012-07-25 |
| 1467711572 | Douglas Frey | Nurse Practitioner | 616 16th St, Oakland, CA 94612-1205 | 2012-05-09 |
| 1093969420 | Lifelong Medical Care | Clinic/Center | 616 16th St, Suite 1, Oakland, CA 94612-1205 | 2008-11-12 |
| 1982851366 | Danielle Lynn Marchman | Social Worker | 616 16th St, Oakland, CA 94612-1205 | 2008-08-27 |
| 1700073285 | Joann Mary Bianchi Wojick | Social Worker | 616 16th St, Oakland, CA 94612-1205 | 2007-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
| 1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
| 1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
| 1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
| 1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
| 1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
| 1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.