DR. ADAM QUINN FERGUSON (NPI# 1144514522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144514522 |
| Entity Type | Individual |
| Full Name | DR. ADAM QUINN FERGUSON |
| Credential | D.O. |
| Practice Address |
863 N Main Street Ext Ste 200 Wallingford CT 06492-2434 |
| Mailing Address |
863 N Main Street Ext Ste 200 Wallingford CT 06492-2434 |
| Practice Telephone | 2032653280 |
| Mailing Telephone | 2032653280 |
| Mailing Fax Number | 2032650195 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
57115 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265734412 | Adam Ferguson | Student in an Organized Health Care Education/Training Program | 311 Creekside Dr, Morgantown, WV 26508-9099 | 2010-11-20 |
| 1831518075 | Adam V Ferguson | Physician Assistant | 7777 Hennessy Blvd, St. 701, Baton Rouge, LA 70808-4300 | 2014-04-15 |
| 1184931198 | Adam Ray Ferguson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2010-09-13 |
| Street Address |
863 N MAIN STREET EXT STE 200 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134261563 | Comprehensive Orthopaedics | Clinic/Center | 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 | 2007-02-13 |
| 1295341477 | Paula Andrea Hernandez Ortiz | Physical Therapist | 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 | 2020-09-22 |
| 1881251585 | Jackson Taylor | Physical Therapist | 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 | 2019-05-29 |
| 1962724260 | Jonathan Robert Dale | Physician Assistant | 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 | 2010-02-28 |
| 1255666350 | Rania Rifaey | Anesthesiology | 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 | 2009-10-07 |
| 1568580132 | Valerie W Peckingham | Preventive Medicine | 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700207198 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 12 Bokum Rd, Essex, CT 06426-1500 | 2014-01-02 |
| 1497935191 | William G. Cimino, Md, PC | Orthopaedic Surgery | 52 Beach Rd, #207, Fairfield, CT 06824-6017 | 2007-11-09 |
| 1184828105 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 450 Boston Post Rd, Guilford, CT 06437-2933 | 2007-06-13 |
| 1578595237 | Gary Richard Richo | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-07-06 |
| 1154375525 | Adam Brodsky | Orthopaedic Surgery | 166 Cherry St, Suite B, New Canaan, CT 06840-4828 | 2006-05-20 |
| 1295700441 | Dr R Hillsman Md PC | Orthopaedic Surgery | 1183 New Haven Rd, Dr. R. Hillsman, PC, Naugatuck, CT 06770-5033 | 2006-02-21 |
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.