DR. JOHN M FERGUSON


Address: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113
Phone: 9014482300

DR. JOHN M FERGUSON (NPI# 1770541856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770541856
Entity Type Individual
Full Name DR. JOHN M FERGUSON
Credential MD
Practice Address 1910 Nonconnah Blvd
Suite 120
Memphis
TN 38132-2113
Mailing Address 66 N Pauline St
Suite 206
Memphis
TN 38105-5105
Practice Telephone 9014482300
Practice Fax Number 9014486657
Mailing Telephone 9014487642
Mailing Fax Number 9014488015
Enumeration Date 2006-05-01
Last Update Date 2018-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
9392 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00017197 05
AL 179359 05
GA 003179268A 05
MI 1770541856 05
TN Q002132 05
MO 1770541856 05
AR 110793001 05
TN 3496341 05

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Office Location

Street Address 1910 NONCONNAH BLVD
SUITE 120
City MEMPHIS
State TN
Zip Code 38132-2113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417933276 Cynthia Denise Cross Emergency Medicine 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 2005-12-22
1265719496 Tamara Devon Jones Social Worker 1910 Nonconnah Blvd, Suite #100, Memphis, TN 38132-2113 2011-11-16
1417244765 Compass Laboratory Services LLC Clinical Medical Laboratory 1910 Nonconnah Blvd, 108, Memphis, TN 38132-2113 2011-07-07
1508090986 Oana Maria Hendea Audiologist 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 2009-05-13
1649429119 Dawna J. Willis Nurse Practitioner 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 2008-09-09
1538315304 Samir Hasmukh Shah Pediatrics 1910 Nonconnah Blvd, Ste 120, Memphis, TN 38132-2113 2008-08-13
1710163373 Martha Katheryn Ballard Nurse Practitioner 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 2008-01-14
1861673816 Keith A. Collins Nurse Anesthetist, Certified Registered 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 2007-11-19
1851510978 Mindy A Mullins Nurse Anesthetist, Certified Registered 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 2007-04-25
1275629396 Sabrina Burns Kuster Pediatrics 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 2006-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386163707 Casey Provo Dietitian, Registered 1689 Nonconnah Blvd., Memphis, TN 38132 2017-09-18
1164802195 Cynthia Luaune Poole Social Worker 2606 Corporate Dr, Memphis, TN 38132 2015-06-04
1033375753 Concentra Health Services, Inc. Clinic/Center 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 2008-08-01
1063406676 The Synergy Foundation, Inc. Substance Abuse Rehabilitation Facility 2305 Airport Interchange Avenue, Memphis, TN 38132 2005-09-09
1932488129 Occupational Health Centers of The Southwest Pa Clinic/Center 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 2011-08-05
1699181461 Stacy Triplett Counselor 2305 Airport Interchange Ave, Memphis, TN 38132-1002 2014-07-01
1174852164 Delois Roberson Dentist 2781 Airways Blvd, Memphis, TN 38132-1104 2009-12-22
1801380985 Javier Jackson Physical Therapist 2781 Airways Blvd, Memphis, TN 38132-1104 2018-06-21
1326499252 Joshua Mock Physical Therapy Assistant 2781 Airways Blvd, Memphis, TN 38132-1104 2016-06-22
1295112720 Michelle Frulla Physical Therapy Assistant 2781 Airways Blvd, Memphis, TN 38132-1104 2015-05-05
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801367537 Stacie Nicole Yocom Pediatrics 853 Jefferson Ave Route E206, Memphis, TN 38163 2018-12-06
1518470780 Ashley Poynor Pediatrics 853 Jefferson Ave # Route206, Memphis, TN 38103-2807 2017-11-09
1528300431 Kent Avery Willis Pediatrics 853 Jefferson Ave Rm 201, Memphis, TN 38103-2807 2013-03-19
1659638310 Jennifer Michelle Davidson Pediatrics 853 Jefferson Ave Ste 201, Memphis, TN 38103 2012-04-19
1003137571 Mimily Harsono Pediatrics University of Tennessee (division of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 2010-06-18
1487835229 Sandeep K. Chilakala Pediatrics 853 Jefferson Avenue, Suite 201, Memphis, TN 38103 2007-11-20
1346463130 Mohamad Tammam Elabiad Pediatrics Ut College of Medicine, 920 Madison Avenue Suite C50, Memphis, TN 38163-0001 2007-04-10
1992732580 Ramesh Krishnan Pediatrics 853 Jefferson Ave Ste 200, Memphis, TN 38103-2807 2006-06-27
1447217922 Ajay Talati Pediatrics 1910 Nonconnah Blvd Ste 120, Memphis, TN 38132-2113 2006-04-27
1548803919 Anna Kathryn Noel Pediatrics 1407 Union Ave Ste 700, Memphis, TN 38104-3641 2019-10-18
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Competitor

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City MEMPHIS
Zip Code 38132

Improve Information

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Dataset Information

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.

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