DR. PETER FERGUS


Address: 1727 Shawano Ave, Ste 201, Green Bay, WI 54303-3273
Phone: 9202721050

DR. PETER FERGUS (NPI# 1639157936) 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) 1639157936
Entity Type Individual
Full Name DR. PETER FERGUS
Credential M.D.
Practice Address 1727 Shawano Ave
Ste 201
Green Bay
WI 54303-3273
Practice Telephone 9202721050
Practice Fax Number 9202721051
Mailing Telephone 9202721050
Mailing Fax Number 9202721051
Enumeration Date 2006-01-06
Last Update Date 2015-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
19406 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30979800 05
WI RAILROAD MEDICARE 110149556 01

Office Location

Street Address 1727 SHAWANO AVE
STE 201
City GREEN BAY
State WI
Zip Code 54303-3273

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124408174 Adam Wied Physical Therapist 1727 Shawano Ave, Green Bay, WI 54303-3268 2015-06-04
1598150864 St. Mary's Hospital Medical Center of Green Bay Inc.-hospital Sisters Family Medicine 1727 Shawano Ave, Green Bay, WI 54303-3268 2015-04-02
1609287457 Samantha Elizabeth Heezen Physical Therapist 1727 Shawano Ave, Green Bay, WI 54303-3268 2014-05-14
1457773483 Natalie Binder Physical Therapist 1727 Shawano Ave, Green Bay, WI 54303-3268 2014-01-10
1164853826 Ashley Ziegler Physical Therapist 1727 Shawano Ave, Green Bay, WI 54303-3268 2013-12-06
1811328875 Brenda Hella Occupational Therapist 1727 Shawano Ave, Green Bay, WI 54303-3268 2013-12-02
1467889006 St Vincent Hospital-hospital Sisters-third Order of St Francis Durable Medical Equipment & Medical Supplies 1727 Shawano Ave, Green Bay, WI 54303-3268 2013-09-27
1154684942 Ashley Verbeten Physical Therapist 1727 Shawano Ave, Green Bay, WI 54303-3268 2012-06-18
1093955411 Connie Bloedel Dietitian, Registered 1727 Shawano Ave, Green Bay, WI 54303-3268 2009-02-25
1205027992 Debra J Metzler Nurse Practitioner 1727 Shawano Ave, 201, Green Bay, WI 54303-3268 2007-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952921033 Ashley Marie Vandermoss Social Worker 1601 W Mason Street, Green Bay, WI 54303 2020-04-20
1598307423 Jean Marie Castaneda Case Manager/Care Coordinator 2517 N. Court, Green Bay, WI 54303 2019-10-11
1215579552 Integrated Treatment Centers, LLC Clinic/Center 2311 W Mason Street, Green Bay, WI 54303 2019-10-08
1003460551 Affordable Dentures & Implants - Green Bay, S.c. Dentist 1800-c W. Mason Street, Green Bay, WI 54303 2019-08-01
1164940375 Kaeley Rae Blaney Student in an Organized Health Care Education/Training Program 2088 Memorial Drive #208, Green Bay, WI 54303 2017-09-07
1518498047 Treatment Providers LLC Clinic/Center 2731 N Packerland Dr Ste A, Green Bay, WI 54303 2017-03-26
1851840565 Back To Balance Chiropractic, LLC Chiropractor 110 Packerland Drive, Suite B, Green Bay, WI 54303 2016-09-23
1710361001 Matthew Lemay Acupuncturist 727 E Walnut, Suite B2, Green Bay, WI 54303 2015-07-16
1144600149 Carrie Jean Banaszak Counselor 1039 Mason Street, Green Bay, WI 54303 2015-06-04
1174921993 Kensey Meyer Occupational Therapy Assistant 1555 Dousman Road, Seymour, WI 54303 2014-12-10
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396824074 Cardiology Associates of Green Bay, Ltd Internal Medicine 744 S. Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 2006-11-03
1407828676 Ramon Ray Gregorio Rayel Internal Medicine 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 2006-02-02
1245659051 Laura S Beacher Internal Medicine 744 S Webster Ave, Green Bay, WI 54301-3505 2014-04-09
1467771535 Bellin Memorial Hospital Inc Internal Medicine 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 2010-05-27
1174841985 Armaan C Shaikh Internal Medicine 2845 Greenbrier Rd, Green Bay, WI 54311 2010-05-04
1750534533 Bellin Memorial Hospital Inc Internal Medicine 744 S Webster Ave, Green Bay, WI 54301-3505 2008-10-24
1609027168 Kendra Marsh-kates Internal Medicine 1821 S Webster Ave, Green Bay, WI 54301-2253 2008-10-02
1659412401 Green Bay Cardiothoracic & Vascular LLC Internal Medicine 720 S Van Buren St, Suite 303, Green Bay, WI 54301-3538 2007-02-12
1336238161 Mohammad R. Jazayeri Internal Medicine 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 2006-10-12
1801817432 Francis G Wolf Internal Medicine 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 2006-07-21
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54303

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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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