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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704218229 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | NPI | 1407056013 | 01 |
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 |
Street Address |
955 S BAILEY AVE |
City | SOUTH HAVEN |
State | MI |
Zip Code | 49090-6743 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 49090 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356561112 | Lisa Kay Bigelow | Nurse Practitioner | 950 S Bailey Ave, South Haven, MI 49090-8744 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
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 |
Find all providers with the same taxonomy |
City | SOUTH HAVEN |
Zip Code | 49090 |
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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.