MRS. CAROLYN ANN FERGUSON (NPI# 1639313554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639313554 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN ANN FERGUSON |
| Other Name | CAROLYN ANN ZAWISTOWSKI |
| Credential | PA-C |
| Practice Address |
75 E Street Rd Feasterville Trevose PA 19053-6047 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 2676841047 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055688 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942653415 | Carolyn Ferguson | Nurse Practitioner | 1255 E. Herndon, Fresno, CA 93720-0000 | 2016-07-19 |
| 1871720961 | Carolyn Ferguson | Speech-Language Pathologist | 4136 Grand Ave, Western Springs, IL 60558-1432 | 2009-06-16 |
| Street Address |
75 E STREET RD |
| City | FEASTERVILLE TREVOSE |
| State | PA |
| Zip Code | 19053-6047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839339 | John Bernard Junod | Family Medicine | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2005-05-23 |
| 1386035905 | Vy Vu | Physician Assistant | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2015-02-18 |
| 1770984270 | Patient First Pennsylvania Medical Group | Non-Pharmacy Dispensing Site | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2014-09-16 |
| 1285034470 | Patient First Pennsylvania Medical Group Pllc | Family Medicine | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2014-08-26 |
| 1174951263 | Andria Marie Allen | Family Medicine | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2013-10-29 |
| 1124376249 | Gladys Escobar Morrissey | Physician Assistant | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2012-08-21 |
| 1982975454 | Alexis Brooke Mincer | Physician Assistant | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2012-01-15 |
| 1467621953 | Kia Denise West | Family Medicine | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2008-02-28 |
| 1992887475 | Roberta L. Scherr | Family Medicine | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2006-10-20 |
| 1922189315 | Jeffry Alan Lindenbaum | Family Medicine | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1881181410 | Linda S Linden | Massage Therapist | 333 Steele Rd, Feasterville, PA 19053 | 2018-04-19 |
| 1336671619 | Marsela Ismailanji | Behavioral Analyst | 4 Neshaminy Interplex Drive, Suite 202, Trevose, PA 19053 | 2017-03-28 |
| 1194189019 | Kathleen A Gant | Nurse Practitioner | 4829 Street Rd, Trevose, PA 19053 | 2016-04-06 |
| 1801263165 | Kristi Ann Wert | Nurse Practitioner | 4829 E. Street Rd, Trevose, PA 19053 | 2015-08-21 |
| 1841675113 | Marlene Lisa Levis | Pharmacist | 176 West Street Road, Feasterville, PA 19053 | 2015-07-28 |
| 1578802229 | Colleen Joan Garneau | Registered Nurse | 2500 N Gate Rd, Trevose, PA 19053 | 2013-01-31 |
| 1225306376 | Michael J Fanelli | Pharmacist | 2 E. Street Rd, Feasterville, PA 19053 | 2011-12-05 |
| 1053689125 | Yuliya Peskin | Pharmacist | 2 E Street Road, Walgreens, Feasterville, PA 19053 | 2011-12-05 |
| 1891000584 | Justin T Jiunta | Physical Therapist | 1040 Mill Creek Drive, Feasterville, PA 19053 | 2010-08-18 |
| Find all providers in zip 19053 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286317 | Donna M Mortimer | Physician Assistant | 23 Bustleton Pike Ste 100, Feasterville Trevose, PA 19053-6446 | 2005-09-21 |
| 1982975454 | Alexis Brooke Mincer | Physician Assistant | 75 E Street Rd, Feasterville Trevose, PA 19053-6047 | 2012-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | FEASTERVILLE TREVOSE |
| Zip Code | 19053 |
Please comment or provide details below to improve the information on MRS. CAROLYN ANN FERGUSON.
| 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.