DR. GEOFFREY STUART FERGUSON (NPI# 1336126242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336126242 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY STUART FERGUSON |
| Credential | MD |
| Practice Address |
19020 33rd Ave W Ste 210 Lynnwood WA 98036-4748 |
| Practice Telephone | 4255631500 |
| Practice Fax Number | 4255631501 |
| Mailing Telephone | 4255631500 |
| Mailing Fax Number | 4255631374 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00014864 | WA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD00014864 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I PROVIDER NUMBER | 175516 | 01 |
| WA | 8442709 | 05 | |
| WA | L&I PROVIDER NUMBER | 135852 | 01 |
| WA | L&I PROVIDER NUMBER | 135853 | 01 |
| Street Address |
19020 33RD AVE W STE 210 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556868 | Prabhakar P. Kesava | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2005-05-31 |
| 1861869661 | Elysia Bethany Louise Andrews | Physician Assistant | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2015-08-27 |
| 1962805226 | Ryan A. Gilbreth | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-10-01 |
| 1154735561 | Harrison Patrick March | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-06-13 |
| 1881005833 | Yasmin Syeda Akbari | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-05-13 |
| 1225458839 | Nicholas Ryan Galloway | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-22 |
| 1639598873 | Bradley David Griffitts | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-15 |
| 1427476704 | Ryan Frederick Herde | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-04-03 |
| 1679991442 | Xi Zhang | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2014-03-31 |
| 1922432335 | Tamuna Chabra | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318588 | Stephanie Sobrepera | Radiology | Radiology Department Rr 210 1959 Ne Pacific Street, Seattle, WA 98195-3450 | 2019-04-15 |
| 1104236322 | Thomas John Kofler | Radiology | 1301 Willard Ave W, Seattle, WA 98119-3460 | 2014-04-28 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1235368564 | Lakhwant Singh | Radiology | 2916 Nw Bucklin Hill Rd #381, Silverdale, WA 98383 | 2009-07-08 |
| 1841310323 | Timnit Ghermay | Radiology | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2007-03-30 |
| 1902870827 | Overlake Imaging Associates PC | Radiology | 1417 116th Ave Ne Ste 212, Bellevue, WA 98004-3821 | 2006-02-15 |
| 1740268325 | Mark D. Papenhausen | Radiology | 3216 Norton Ave, Suite 201, Everett, WA 98201-4290 | 2006-01-04 |
| 1942287859 | Louis I. Juravsky | Radiology | 2412 N 43rd St, Seattle, WA 98103-7644 | 2005-12-30 |
| 1811974652 | Thomas Kieran Curry | Radiology | 1450 5th St Se # 220, Puyallup, WA 98372-4602 | 2005-12-22 |
| 1679193205 | Sound Vascular, P.s. | Radiology | 32014 32nd Ave S, Federal Way, WA 98001-9625 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GEOFFREY STUART FERGUSON.
| 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.