ERIC J FERGUSON (NPI# 1699783357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699783357 |
| Entity Type | Individual |
| Full Name | ERIC J FERGUSON |
| Credential | MD |
| Practice Address |
1895 Kingsley Ave Suite 300 Orange Park FL 32073-4466 |
| Practice Telephone | 9042762549 |
| Mailing Telephone | 9042762549 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35.090858 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301084651 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME131546 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD459483 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PARAMOUNT | 06219 | 01 |
| MI | 4907831 | 05 | |
| MI | ANTHEM | 000000489362 | 01 |
| OH | 2714978 | 05 | |
| MI | BCBS MI | 0204610872 | 01 |
| MI | AETNA | 7349345 | 01 |
| MI | HPM | 39952 | 01 |
| MI | RRMC | P00334569 | 01 |
| ANTHEM | 000000586986 | 01 | |
| MI | GLHP | 157140 | 01 |
| MI | CARE CHOICE/PREFERRED CH | 143523 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588617807 | Eric Ferguson | Radiology | 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197-1014 | 2006-05-18 |
| Street Address |
1895 KINGSLEY AVE SUITE 300 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786059 | Victor A Maquera | Psychiatry & Neurology | 1895 Kingsley Ave, Ste 903, Orange Park, FL 32073-4466 | 2005-11-04 |
| 1184171605 | Institute for Health Sports Spine Rehabilitation & Pain Manage | Pain Medicine | 1895 Kingsley Ave, Orange Park, FL 32073-4466 | 2016-09-01 |
| 1093174377 | Ackerman Cancer Center | Urology | 1895 Kingsley Ave, Suite 903, Orange Park, FL 32073-4466 | 2016-02-16 |
| 1497148225 | Dianne Larson | Registered Nurse | 1895 Kingsley Ave, Suite 903, Orange Park, FL 32073-4466 | 2015-03-18 |
| 1821404914 | Advanced Maxillofacial Surgical LLC | Dentist | 1895 Kingsley Ave, Suite 403, Orange Park, FL 32073-4466 | 2014-07-09 |
| 1326478033 | Neurocare Inc. | Clinic/Center | 1895 Kingsley Ave, Suite 901, Orange Park, FL 32073-4466 | 2013-11-15 |
| 1346513876 | Carlos L. Esquivia-munoz, M.d.p.a. | Orthopaedic Surgery | 1895 Kingsley Ave, Suite 701, Orange Park, FL 32073-4466 | 2012-02-14 |
| 1346409745 | Francis D Ong Md Pa | Plastic Surgery | 1895 Kingsley Ave, Suite 403, Orange Park, FL 32073-4466 | 2008-06-02 |
| 1174717276 | Thomas Lupoli | Allergy & Immunology | 1895 Kingsley Ave, Orange Park, FL 32073-4466 | 2007-08-31 |
| 1811041015 | Allergy & Asthma Specialists of North Florida Pa | Allergy & Immunology | 1895 Kingsley Ave, Suite 401, Orange Park, FL 32073-4466 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386066728 | River Watch Acute Trauma LLC | Surgery | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2014-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422607 | Shawn A. Mcclure Dmd, Md | Surgery | 8755 Sw 57th Pl, Cooper City, FL 33328-5921 | 2016-08-18 |
| 1326434556 | Kyle Leneweaver | Surgery | 5151 N 9th Ave # 305, Pensacola, FL 32504-8721 | 2015-04-14 |
| 1093063869 | Ocala Health Trauma, LLC | Surgery | 205 Se 14th Pl, Ocala, FL 34471-4341 | 2012-08-27 |
| 1912262544 | Injury Management, LLC | Surgery | 4010 Nw 100th Ave, Coral Springs, FL 33065-1549 | 2012-07-10 |
| 1558664987 | Moshe Stav Md Pa | Surgery | 1550 Ponce De Leon Dr, 3200 S. University Dr, Rm 7374, Fort Lauderdale, FL 33316-1324 | 2010-12-07 |
| 1154589786 | Meredith Lynn Shaddix | Surgery | 5153 North 9th Avenue, Suite 305, Pensacola, FL 32504 | 2008-05-30 |
| 1760681225 | Omar Mahmoud El-sheikh | Surgery | 801 E. 6th Street, Suite 602, Panama City, FL 32401-3663 | 2007-07-15 |
| 1689710279 | Thomas Anthony Abbruzzese | Surgery | 1654 Village Center Dr Apt 207, Lakeland, FL 33803-2892 | 2007-01-30 |
| 1003900952 | Meredith Tinti | Surgery | 3627 University Blvd S Ste 500, Jacksonville, FL 32216-7405 | 2006-10-03 |
| 1194748947 | James Carver Boyd | Surgery | 2280 N 9th Ave, Pensacola, FL 32503-3949 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on ERIC J 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.