JONATHAN L. FERGUSON (NPI# 1669452934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669452934 |
| Entity Type | Individual |
| Full Name | JONATHAN L. FERGUSON |
| Credential | MD |
| Practice Address |
698 Featherstone Rd Rockford IL 61107-6303 |
| Practice Telephone | 8153983277 |
| Practice Fax Number | 8154847001 |
| Mailing Telephone | 8153983277 |
| Mailing Fax Number | 8154847001 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
036078516 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036078516 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1285292730 | Jonathan Ferguson | Counselor | 1639 Forum Pl Ste 7, West Palm Beach, FL 33401-2330 | 2019-05-30 |
| 1649793431 | Jonathan Ferguson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-24 |
| Street Address |
698 FEATHERSTONE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595296 | Amy L Ailes Dinello | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2005-08-22 |
| 1285949800 | Syed Rafe Zaidi | Family Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2010-08-09 |
| 1154567964 | Leesa E Gillooley | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2008-12-29 |
| 1881889194 | Pedro Rodriguez | Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-10 |
| 1861687584 | Nipun Chhabra | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-06 |
| 1699968263 | Saint Anthony Medical Center | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-08-27 |
| 1124141825 | Terrence R Loughlin | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-09 |
| 1891817441 | Kavitha Subramanian | Internal Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-04 |
| 1497899009 | Dhaval M Patel | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-02-16 |
| 1790894897 | Sarah E Hagarty | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068695 | Fazlur R. Zahurullah | Otolaryngology | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558646745 | Peter Anthony Brusca | Otolaryngology | 1310 N Ritchie Ct, 29b, Chicago, IL 60610-2168 | 2011-10-19 |
| 1942310081 | Parkview Ear, Nose & Throat Clinic, S.c. | Otolaryngology | 112 Park Ridge Ln, Pekin, IL 61554-3900 | 2006-08-30 |
| 1295707578 | James Curtis Hertenstein | Otolaryngology | 8600 N State Rt 91, Ste 300, Peoria, IL 61615 | 2006-02-02 |
| 1982609103 | Gordon J Siegel | Otolaryngology | 3 E Huron St, Fl 1, Chicago, IL 60611-2887 | 2005-06-15 |
| 1467816918 | Smart Sinus and Allergy Florida LLC | Otolaryngology | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2016-04-11 |
| 1962880419 | Richard Kao | Otolaryngology | 1611 W Harrison St, Chicago, IL 60612-4861 | 2015-05-15 |
| 1194163139 | Finn R. Amble, M.d. F.a.c.s., S.c | Otolaryngology | 1505 Eastland Dr, Suite 220, Bloomington, IL 61701-3534 | 2013-06-12 |
| 1861731689 | Hosseinali Jafari | Otolaryngology | 301 N 8th St, Springfield, IL 62701-1041 | 2013-02-14 |
| 1467601583 | Muthuswamy Dhiwakar | Otolaryngology | 301 N 8th St, Springfield, IL 62701-1041 | 2008-09-12 |
| 1508065558 | James J Klemens | Otolaryngology | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2007-07-11 |
| Find all providers with the same taxonomy | ||||
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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.