KEVIN JOHN FERGUSON


Address: 955 S Bailey Ave, South Haven, MI 49090-6743
Phone: 2696395271

KEVIN JOHN FERGUSON (NPI# 1407056013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407056013
Entity Type Individual
Full Name KEVIN JOHN FERGUSON
Credential NP-C
Practice Address 955 S Bailey Ave
South Haven
MI 49090-6743
Practice Telephone 2696395271
Mailing Telephone 2696395271
Enumeration Date 2007-07-21
Last Update Date 2016-11-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704218229 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI NPI 1407056013 01

Other Providers KEVIN FERGUSON

NPI Name Taxonomy Address Enumeration
1457740391 Kevin Ferguson II Counselor 8023 W Parkway Blvd, 10-305, Tulsa, OK 74127-5665 2015-01-15
1578723516 Kevin Michael Ferguson Chiropractor 525 S San Gabriel Blvd, San Gabriel, CA 91776-2719 2008-06-12
1124009444 Kevin F Ferguson Pediatrics 40 Sunshine Cottage Rd Rm 1n-e29, Valhalla, NY 10595-1524 2005-11-14
1720695521 Kevin Dean Ferguson In Home Supportive Care 4318 County Road 64, Willow Wood, OH 45696-9067 2020-09-25
1063799880 Kevin Bruce Ferguson Pharmacist 810 W 21st St, Norfolk, VA 23517-1514 2011-11-08
1164530036 Kevin R Ferguson Psychiatry & Neurology 7155 Lee Hwy Ste 300, Chattanooga, TN 37421-0802 2006-08-29
1437173358 Kevin L. Ferguson Emergency Medicine 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2006-07-26
1801823067 Kevin L Ferguson Pathology 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401-7462 2006-06-26
1659365492 Kevin Ferguson Dentist 110 S 17th St, Dental Dept., Harrisburg, PA 17104-1123 2005-09-08

Office Location

Street Address 955 S BAILEY AVE
City SOUTH HAVEN
State MI
Zip Code 49090-6743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548256449 William Dean Gilmer Nurse Anesthetist, Certified Registered 955 S Bailey Ave, South Haven, MI 49090-6743 2005-09-26
1184245342 Lynn Yvette Sharpe Physical Therapist 955 S Bailey Ave, South Haven, MI 49090-6743 2020-04-29
1174142442 Kim House Dietitian, Registered 955 S Bailey Ave, South Haven, MI 49090-6743 2020-04-15
1447803366 Josiah Griffore Physical Therapist 955 S Bailey Ave, South Haven, MI 49090-6743 2019-07-19
1639730948 Scott Eric Smith Occupational Therapist 955 S Bailey Ave, South Haven, MI 49090-6743 2019-06-26
1083114532 Sarah R Rucano Specialist/Technologist 955 S Bailey Ave, South Haven, MI 49090-6743 2018-02-20
1356718761 South Haven Community Health System General Acute Care Hospital 955 S Bailey Ave, South Haven, MI 49090-6743 2015-09-01
1215312202 Katrina Nichole Barrett Nurse Practitioner 955 S Bailey Ave, South Haven, MI 49090-6743 2015-07-20
1841698917 Christopher Wendling Specialist/Technologist 955 S Bailey Ave, South Haven, MI 49090-6743 2014-12-05
1952742603 Andrew Josiah Rife Physician Assistant 955 S Bailey Ave, South Haven, MI 49090-6743 2013-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295234490 Katara Therapy, LLC Social Worker 13560 76th Street, Suite 3, South Haven, MI 49090 2018-02-03
1487022091 Kevin E. Ferrell Physician Assistant 955 S. Bailey Avenue, South Haven, MI 49090 2015-09-14
1942638002 Birdie Farley Chore Provider 26725 M-140 Hwy, South Haven, MI 49090 2013-10-28
1730514910 Rebecca A. Bennett Counselor 1675 Phoenix Road, Suite 9, South Haven, MI 49090 2013-09-06
1902149818 Bronson South Haven Hospital Emergency Medicine 970 S Bailey Ave, South Haven, MI 49090 2013-03-28
1265629927 Cecilia Liz Vives Vasquez Physical Therapist 23701 Red Arrow Hwy, Mattawan, MI 49090 2007-09-26
1518089788 Donald Jam,es Buckley Pharmacist 955 S Bailey, South Haven, MI 49090 2007-04-06
1366568966 Norman M Maly Dentist 05055 Blue Star Hwy, South Haven, MI 49090 2007-03-22
1639264062 Deborah Sue Distefano Pharmacy Technician 512 Phoenix Street, South Haven, MI 49090 2006-10-03
1053357897 Stephen Earl Tolen Chiropractor 325 Superior St., South Haven, MI 49090 2006-06-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356561112 Lisa Kay Bigelow Nurse Practitioner 950 S Bailey Ave, South Haven, MI 49090-8744 2007-04-26

Providers in the same taxonomy and state

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1275133217 Maureen Mae Lewis Nurse Practitioner 2782 N Coleman Rd, Coleman, MI 48618-9721 2020-10-29
1073113460 Taylor L Pichette Nurse Practitioner 758 Lucille Dr, Wolverine Lake, MI 48390-2327 2020-10-27
1295333938 Amanda Covell Nurse Practitioner 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 2020-10-14
1689271314 Nicole Conklin Nurse Practitioner 524 Doyle Rd, Laingsburg, MI 48848-9611 2020-10-06
1447857677 Shelby Lynn Waibel Nurse Practitioner 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 2020-10-01
1497361638 Amira Aljamal Nurse Practitioner 4601 Shenandoah Ave, Allen Park, MI 48101-3131 2020-09-22
1659987014 Sean Thomas Kane Nurse Practitioner 13734 Parallel Ave, Alpena, MI 49707-7987 2020-09-21
1235743592 Mojica, LLC Nurse Practitioner 4163 W Pointe Dr, Waterford, MI 48329-4648 2020-09-03
1942812094 Meagan James Nurse Practitioner 407 E Huron River Dr, Belleville, MI 48111-2763 2020-08-20
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Competitor

Search similar providers

City SOUTH HAVEN
Zip Code 49090

Improve Information

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Dataset Information

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.

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