ASHLEY FERGUSON (NPI# 1629586946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629586946 |
Entity Type | Individual |
Full Name | ASHLEY FERGUSON |
Credential | APN |
Practice Address |
330 N Wyckles Rd Decatur IL 62522-1034 |
Mailing Address |
9001 Birkbeck Rd Clinton IL 61727-9166 |
Practice Telephone | 2178765208 |
Mailing Telephone | 3098461073 |
Enumeration Date | 2018-01-22 |
Last Update Date | 2018-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
209.016909 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | ILLINOIS LICENSE | 209.016909 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
1316410673 | Ashley Ferguson | Specialist/Technologist | 208 Pinehurst Dr, Enterprise, AL 36330-1340 | 2019-01-09 |
1841780962 | Ashley Ferguson | Prosthetic/Orthotic Supplier | 1811 Greenville Ave Ste 100, Dallas, TX 75206-7485 | 2018-05-14 |
1417314808 | Ashley Ferguson | Social Worker | 12641 Pine Street, Taylro, MI 48180 | 2016-01-15 |
1093045692 | Ashley Ferguson | Nurse Practitioner | 1228 N Highway 123, San Marcos, TX 78666 | 2010-01-04 |
1780149302 | Ashley Ferguson | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2019-02-07 |
1912442195 | Ashley Ferguson | Assistant Behavior Analyst | 14895 E 14th St, St#465, San Leandro, CA 94578-2922 | 2016-12-27 |
1811444904 | Ashley Ferguson | Counselor | 100 Missionary Rdg, Birmingham, AL 35242-5236 | 2016-09-06 |
1962779504 | Ashley Noelle Ferguson | Physician Assistant | 105 W Stone Dr, Ste 4b, Kingsport, TN 37660-3365 | 2011-11-28 |
1790061968 | Ashley Danielle Ferguson | Nurse Practitioner | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2011-11-01 |
Street Address |
330 N WYCKLES RD |
City | DECATUR |
State | IL |
Zip Code | 62522-1034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083131973 | Casey Eichenauer | Nurse Practitioner | 330 N Wyckles Rd, Decatur, IL 62522-1034 | 2017-08-23 |
1588279731 | Alison Lynne Fornoff | Nurse Practitioner | 330 N Wyckles Rd, Decatur, IL 62522-1034 | 2020-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
1588808323 | Paul D. Potter, D.d.s., Ltd | Dentist | 280 West North St, Decatur, IL 62522 | 2009-04-23 |
1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
Find all providers in zip 62522 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821617036 | Matthew Charles Revilla | Family Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-04-09 |
1538586995 | Dekalb Gpo LLC | Family Medicine | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2014-03-24 |
1033498118 | Syed Zia Ullah | Family Medicine | 2536 Lawrenceville Hwy, Decatur, GA 30033-3227 | 2011-08-08 |
1457473795 | Healing Innovations, P.C. | Family Medicine | 5040 Snapfinger Woods Dr, Suite 201, Decatur, GA 30035-4020 | 2007-04-06 |
1376665463 | Family Care Centers Trust | Family Medicine | 1045 Sycamore Dr, Adminstration, Decatur, GA 30030-1645 | 2007-04-06 |
1477672640 | Family Care Centers Trust | Family Medicine | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2007-03-28 |
1689737603 | Primary Medical Care Group | Family Medicine | 5322 Snapfinger Park Dr, Decatur, GA 30035-4040 | 2006-12-19 |
1942373089 | Song Yol Yu | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-16 |
1609880160 | Shainul K Bhatia | Family Medicine | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
1659915171 | Amanda Marie Wilderman | Family Medicine | 1268 Cole Place Rd, Chester, IL 62233-2054 | 2019-10-29 |
1699277038 | Eileen A Solis | Family Medicine | 1795 Grandstand Pl Ste 2, Elgin, IL 60123-4980 | 2018-03-01 |
1841703584 | Home Physicians of Illinois LLC | Family Medicine | 10027 Frontage Rd, Skokie, IL 60077-1033 | 2017-11-15 |
1770953986 | Mrs Integrative Medicine LLC | Family Medicine | 3s630 Glen Dr S, Warrenville, IL 60555-3506 | 2015-09-30 |
1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
1851733133 | Pyramids Advisors, Inc. | Family Medicine | 6427 Dempster St, Morton Grove, IL 60053-2604 | 2013-07-26 |
1558707075 | Jean M. Pouget | Family Medicine | 175 Northgate Rd, Riverside, Riverside, IL 60546-1683 | 2013-05-13 |
1629411806 | Rahman Fazil Mohammed Abdul | Family Medicine | 9011 W Ballard Rd Apt 1a, Des Plaines, IL 60016-4987 | 2013-04-08 |
Find all providers with the same taxonomy |
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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.