OTIS B FERGUSON III (NPI# 1215013297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215013297 |
| Entity Type | Individual |
| Full Name | OTIS B FERGUSON III |
| Credential | MD |
| Practice Address |
7633 E Jefferson Ste 120 Detroit MI 48214-3730 |
| Practice Telephone | 3138248941 |
| Practice Fax Number | 3138241115 |
| Mailing Telephone | 3138248941 |
| Mailing Fax Number | 3138241115 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301064409 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 1808205190 | 01 | |
| CAPE HEALTH PLAN | 000000002337 | 01 | |
| WELLNESS PLAN | 1004844002 | 01 | |
| CARE CHOICES | 117351 | 01 | |
| OMNICARE | 48637 | 01 | |
| HAP | G12616 | 01 | |
| AETNA | 5285466 | 01 |
| Street Address |
7633 E JEFFERSON STE 120 |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679667620 | Cohen Podiatry PC | Podiatrist | 7633 E Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-03 |
| 1346304276 | James Mitchell Cox | Occupational Therapist | 7633 E Jefferson, #170, Detroit, MI 48214 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779678 | Otis B. Ferguson IIi Md PC | Ophthalmology | 7633 East Jefferson, Suite 120, Detroit, MI 48214 | 2006-10-04 |
| 1912008566 | Dennis C Woods Sr. | Ophthalmology | 4727 St Antoine St, Suite 207, Detroit, MI 48201 | 2006-09-26 |
| 1689685976 | Associated Eye Institutes of Detroit, PC | Ophthalmology | 65 Cadillac Sq, Ste 105, Detroit, MI 48226-2844 | 2006-08-11 |
| 1245248129 | W Anthony Greer | Ophthalmology | 7733 East Jefferson, Detroit, MI 48214 | 2006-08-04 |
| 1952348443 | Gabriel Sosne | Ophthalmology | 4717 St Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2006-06-01 |
| 1609813120 | Anju Goyal | Ophthalmology | Kresge Eye Institute, 4717 St Antoine, Detroit, MI 48201 | 2006-06-01 |
| 1053388074 | William Robert Lucas Jr. | Ophthalmology | 4717 Saint Antoine St, Kresge Eye Institute, Detroit, MI 48201-1423 | 2006-03-08 |
| 1932185089 | Evan H Black | Ophthalmology | 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2005-12-21 |
| 1033104773 | Daniel Seth Zuckerbrod | Ophthalmology | 14400 West Mcnichols, Detroit, MI 48235-3916 | 2005-09-20 |
| 1235796780 | John Michael Guest | Ophthalmology | 4717 Saint Antoine St, Detroit, MI 48201-1423 | 2019-05-21 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on OTIS B FERGUSON III.
| 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.