DR. LEE MICHAEL FERGUSON (NPI# 1114239423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114239423 |
| Entity Type | Individual |
| Full Name | DR. LEE MICHAEL FERGUSON |
| Credential | M.D. |
| Practice Address |
1010 Lakeland Square Ext Ste B Flowood MS 39232-7607 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Malvern PA 19355-1407 |
| Practice Telephone | 6019360890 |
| Practice Fax Number | 6019360891 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 4849240053 |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
22578 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09550236 | 05 | |
| MS | MISSISSIPPI MEDICAL LICENSE | 22578 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Riverview Dr Ste A, Flowood, MS 392328908 | 6019811610 | 6013662887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891188660 | Lee Ferguson | Nurse Practitioner | 2892 South Lamar Blvd, Oxford, MS 38655 | 2015-03-18 |
| 1336443704 | Lee Ronald Ferguson | General Practice | 11708 Nw 27th St, Coral Springs, FL 33065-3309 | 2010-12-28 |
| 1972603967 | Lee O Ferguson | Dentist | 5150 Graves Ave Ste 11c, San Jose, CA 95129-5014 | 2006-09-22 |
| 1407377914 | Lee Patrick Ferguson | Anesthesiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-07-06 |
| 1063898716 | Lee Ferguson | Physical Therapy Assistant | 120 Veterans Dr, Oxford, MS 38655-3578 | 2015-08-05 |
| 1245655737 | Lee Ann Ferguson | Occupational Therapist | 1657 W Cortland St, Chicago, IL 60622-1119 | 2014-02-20 |
| 1336402643 | Lee Robert Ferguson | Social Worker | 660 George Washington Way, Suite D, Richland, WA 99352-4246 | 2012-06-21 |
| 1932368834 | Lee C Ferguson | Surgery | 1151 Dauphin St, Mobile, AL 36604-2547 | 2008-06-05 |
| 1528166394 | Lee Phillips Ferguson | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-09-20 |
| Street Address |
1010 LAKELAND SQUARE EXT STE B |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-7607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093731895 | Vipin S Patel | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2006-07-14 |
| 1770832461 | Flowood Vascular Access, LLC | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2012-09-10 |
| 1457658007 | Sohail Abdul Salim | Internal Medicine | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2011-02-17 |
| 1366555328 | Edward K. Phillips | Specialist | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326123423 | Ami R Patel | Internal Medicine | 102 Riverview Dr, Ste A, Flowood, MS 39232-8908 | 2006-10-26 |
| 1063597227 | William R Smith | Internal Medicine | 1010 Lakeland Square Ext, Suite A, Flowood, MS 39232-7607 | 2006-10-26 |
| 1396716866 | Steven J. Wagner | Internal Medicine | 102 Riverview Dr Ste A, Flowood, MS 39232-8908 | 2006-01-31 |
| 1942576277 | Central Nephrology Clinic Pllc | Internal Medicine | 102 Riverview Dr Ste A, Flowood, MS 39232-8908 | 2012-03-30 |
| 1457658007 | Sohail Abdul Salim | Internal Medicine | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2011-02-17 |
| 1306166970 | Lindsey Thurmon Norris | Internal Medicine | 1010 Lakeland Square Ext, Suite A, Flowood, MS 39232-7607 | 2010-06-07 |
| 1164685640 | Naveen Sandhu | Internal Medicine | 102 Riverview Dr, Ste A, Flowood, MS 39232-8908 | 2008-07-06 |
| 1588875363 | Derrick H. Tesseneer | Internal Medicine | 102 Riverview Dr Ste A, Flowood, MS 39232-8908 | 2007-05-24 |
| 1134339286 | Mohit Ahuja | Internal Medicine | 102 Riverview Dr Ste A, Flowood, MS 39232-8908 | 2007-05-23 |
| 1528109972 | Flowood Vascular Access Center Inc | Internal Medicine | 1010 Lakeland Square Ext, Suite B, Flowood, MS 39232-7607 | 2007-02-09 |
| Find all providers in FLOWOOD | ||||
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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.