Keron A Ferguson
NAUTILUS HEALTH CARE GROUP LLC


Address: 715 W State Rd, Suite 434, Longwood, FL 32750-4937
Phone: 4077675843

Keron A Ferguson (NPI# 1215007125, PAC ID# 4284725565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1215007125
PAC ID by PECOS 4284725565
Professional Enrollment ID I20070801000657
Full Name Keron A Ferguson
Organization Legal Name NAUTILUS HEALTH CARE GROUP LLC
Address 715 W State Rd
Suite 434
Longwood
FL 32750-4937
Phone Number 4077675843
Gender F
Medical School UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE
Graduation Year 2003
Primary Specialty FAMILY MEDICINE
Secondary Specialties GERIATRIC MEDICINE
Group Practice PAC ID 5991604852
Number of Group Practice Members 42
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100006 ORLANDO HEALTH
100030 HEALTH CENTRAL
100007 FLORIDA HOSPITAL

Other Locations

Address Phone Organization
715 W State Rd, Suite 434, Longwood, FL 32750-4937 4077675843 NAUTILUS HEALTH CARE GROUP LLC
7339 Stonerock Cir, Orlando, FL 32819-8002 3218427308 NAUTILUS HEALTH CARE GROUP LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 83%
MIPS_EC_131_overall Pain Assessment and Follow-Up 20%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95%

Organization Information

Organization Legal Name NAUTILUS HEALTH CARE GROUP LLC
Physicians 43

Physicians with the same organization

Name Specialty Organization Address
Ellen L Larusso Nurse Practitioner Nautilus Health Care Group LLC 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387
Heather Amanda Dunn Nurse Practitioner Nautilus Health Care Group LLC 250 2nd St E, Suite 4e, Bradenton, FL 34208-1028
Louis Mazzella Family Medicine Nautilus Health Care Group LLC 7501 38th Ave N, St Petersburg, FL 33710-1230
Gary Anthony Gallo Orthopedic Surgery Nautilus Health Care Group LLC 8340 Collier Blvd, Suite 302, Naples, FL 34114-3626
Adelor Zamora Internal Medicine Nautilus Health Care Group LLC 10300 4th St N, St Petersburg, FL 33716-3810
Robyn M Ache General Surgery Nautilus Health Care Group LLC 2025 Indian Rocks Rd S, Largo, FL 33774-1035
Kristin L Eversole Nurse Practitioner Nautilus Health Care Group LLC 210 21st Ave W, Bradenton, FL 34205-8336
Petra Elke Townsend Family Medicine Nautilus Health Care Group LLC 3951 Nw 48th Ter, Suite 211, Gainesville, FL 32606-7230
Jennifer L Misechok Physician Assistant Nautilus Health Care Group LLC 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505
Charleen L Ise Family Medicine Nautilus Health Care Group LLC 7000 4th St N, Bayfront Wound Care and Hyperbaric, St Petersburg, FL 33702-5903

Office Location

Street Address 715 W STATE RD
SUITE 434
City LONGWOOD
State FL
Zip 32750-4937

Physicians in the same location

Name Specialty Organization Address
Lenka Zachar General Surgery Nautilus Health Care Group LLC 715 W State Rd, Suite 434, Longwood, FL 32750-4937

Physicians in the same zip code

Name Specialty Organization Address
Marc H Sherman Optometry 1495 W St Rd, 434 Suite 109, Longwood, FL 32750-3861
Marcial Serrano Psychiatry Orlando Health Physician Group Inc 455 W Warren Ave, Longwood, FL 32750-4002
Julie A Harper Clinical Social Worker Orlando Health Physician Group Inc 455 W Warren Ave, Longwood, FL 32750-4002
Gilbert Tetteh Tamakloe Psychiatry Orlando Health Physician Group Inc 455 W Warren Ave, Longwood, FL 32750-4002
Dennis E Platt Psychiatry Orlando Health Physician Group Inc 455 W Warren Ave, Longwood, FL 32750-4002
Lorraine J Rouse Nurse Practitioner Orlando Health Physician Group Inc 455 W Warren Ave, Longwood, FL 32750-4002
Debra Ann Dube Internal Medicine 901 W Warren Ave, Longwood, FL 32750-4003
Sherrine Faye Richmond Nurse Practitioner Lpmg Inc 212 W Bay Ave, Longwood, FL 32750-4126
Jacqueline Azelvandre Family Medicine 301 S Milwee St, Longwood, FL 32750-4127
Jessie A Cirolia Nurse Practitioner Azelvandre Do and Associates LLC 301 S Milwee St, Longwood, FL 32750-4127
Find all physicians in zip 32750

Competitor

Search similar physicians

City LONGWOOD
Zip Code 32750
Specialty FAMILY MEDICINE
City + Specialty LONGWOOD + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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