EDRICK JORDAN FERGUSON (NPI# 1659365872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659365872 |
| Entity Type | Individual |
| Full Name | EDRICK JORDAN FERGUSON |
| Credential | M.D. |
| Practice Address |
2804 Battleground Dr Murfreesboro Murfreesboro TN 37129-6492 |
| Mailing Address |
Po Box 11283 Murfreesboro Murfreesboro TN 37129-0026 |
| Practice Telephone | 8045193993 |
| Practice Fax Number | 4238379547 |
| Mailing Telephone | 8045193993 |
| Mailing Fax Number | 4238379547 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35079693 | OH | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 26307 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 30885811 | 05 | |
| OH | 2383924 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 4191954 | 01 |
| RAILROAD MEDICARE | P00468253 | 01 | |
| OH | ANTHEM | 000000270956 | 01 |
| TN | 1508037 | 05 | |
| TN | BCBS PROVIDER NUMBER | 4166295 | 01 |
| Street Address |
2804 BATTLEGROUND DR MURFREESBORO |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-6492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681194 | Lt360 Health Center P.a. | General Practice | 522 Brandies Cir Ste 2-b, Murfreesboro, TN 37128-7687 | 2020-05-18 |
| 1114208899 | Donita Frances Keown | General Practice | 202 Uptown Sq, Murfreesboro, TN 37129-0573 | 2011-09-08 |
| 1689710717 | Martin Anthony Glynn | General Practice | 1525 S Church St, Murfreesboro, TN 37130-5510 | 2007-01-29 |
| 1114072857 | Pike County Memorial Hospital | General Practice | 1124 N Washington Ave, Murfreesboro, AR 71958-0000 | 2007-01-24 |
| 1790766590 | Michael A Macquarrie | General Practice | 602 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2005-11-09 |
| 1023363991 | Twin Oaks Primary Care, Inc. | General Practice | 602 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2012-07-17 |
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| 1740807601 | The Point Surgical Pllc | General Practice | 1636 Madison St Ste C, Clarksville, TN 37043-4934 | 2020-06-26 |
| 1235754094 | Wound Pros Tennessee | General Practice | 3102 West End Avenue, Suite 400, Nashville, TN 37203-1623 | 2020-06-08 |
| 1982243093 | The Franklin Clinic, LLC | General Practice | 1311 W Main St # 7, Franklin, TN 37064-3300 | 2020-01-06 |
| 1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
| 1952953648 | Balanced Medical Center Pllc | General Practice | 501 W Oakland Ave Ste 3, Johnson City, TN 37604-1667 | 2019-07-12 |
| 1326511676 | All About Health Medical, Pllc | General Practice | 2759 Highway 31 W Ste 2, White House, TN 37188-5246 | 2019-01-09 |
| 1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1417470501 | True Wellness Medical | General Practice | 6102 Shallowford Rd Ste 103, Chattanooga, TN 37421-1684 | 2017-07-20 |
| Find all providers with the same taxonomy | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.