KENNETH H FERGUSON (NPI# 1912996794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912996794 |
| Entity Type | Individual |
| Full Name | KENNETH H FERGUSON |
| Credential | M.D. |
| Practice Address |
2030 Sutter Pl Suite 1000 Davis CA 95616-6212 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 5307505995 |
| Practice Fax Number | 5307505905 |
| Mailing Telephone | 8557710335 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 0101058329 | VA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | A90492 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756560 | Kenneth Ferguson | Counselor | 932 W State Highway 152, Mustang, OK 73064-2301 | 2018-07-13 |
| 1053488429 | Kenneth Lee Ferguson | Dentist | 32030 Decker Prairie Rd, Pinehurst, TX 77362-4171 | 2006-11-29 |
| 1194845396 | Kenneth Alan Ferguson | Counselor | 219 Broad St, Danielson, CT 06239-3004 | 2007-03-30 |
| Street Address |
2030 SUTTER PL SUITE 1000 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548781891 | Kristine C Meade | Student in an Organized Health Care Education/Training Program | 2030 Sutter Pl, Davis, CA 95616-6212 | 2017-06-27 |
| 1154864080 | Alisa Manzano | Clinic/Center | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2016-11-25 |
| 1932429065 | Christie Romo | Student in an Organized Health Care Education/Training Program | 2030 Sutter Pl, Suite 2000, Davis, CA 95616-6212 | 2010-06-11 |
| 1467771402 | Neerali Bernard | Psychiatry & Neurology | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2010-05-28 |
| 1548587926 | Myra Qi-hua Hu | Psychiatry & Neurology | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2010-04-26 |
| 1235462086 | Susan B Gillespie | Nurse Practitioner | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2009-09-11 |
| 1699937383 | Laura A Howard | Family Medicine | 2030 Sutter Pl, Suite 2000, Davis, CA 95616-6212 | 2008-06-25 |
| 1710187026 | Julia Sherk Logan | Family Medicine | 2030 Sutter Pl, Suite 2000, Davis, CA 95616-6201 | 2007-07-24 |
| 1659577062 | Teresa Marie King | Physical Therapist | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6201 | 2007-06-22 |
| 1326192055 | Kathryn Sl Csaposs | Physical Therapist | 2030 Sutter Pl, Davis, CA 95616-6201 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047752 | Alan Jeffrey Iverson | Urology | 2104 Sargent Ct, Davis, CA 95616-7621 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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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.