MADISON RAE FERGUSON (NPI# 1730721804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730721804 |
| Entity Type | Individual |
| Full Name | MADISON RAE FERGUSON |
| Credential | PA-C |
| Practice Address |
8780 W Golf Rd Niles IL 60714-5602 |
| Mailing Address |
8780 W Golf Rd Ste 203 Niles IL 60714-5611 |
| Practice Telephone | 8472966706 |
| Practice Fax Number | 8477591679 |
| Mailing Telephone | 8472966706 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942851860 | Madison Ferguson | Specialist/Technologist | 504 University Blvd, Apartment 5, Tuscaloosa, AL 35401 | 2019-09-23 |
| Street Address |
8780 W GOLF RD |
| City | NILES |
| State | IL |
| Zip Code | 60714-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171018 | David L. Walner | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1619434420 | Elite Practitioner LLC | Point of Service | 8780 W Golf Rd, Niles, IL 60714-5602 | 2019-02-28 |
| 1790211381 | Reitna Institute of Illinois | Ophthalmology | 8780 W Golf Rd, Ste 304, Niles, IL 60714-5602 | 2017-05-03 |
| 1184094427 | Vision Centers of America | Optometrist | 8780 W Golf Rd, Niles, IL 60714-5602 | 2015-09-29 |
| 1912383373 | A & H Family Med, P.C. | Internal Medicine | 8780 W Golf Rd, Suite 100, Niles, IL 60714-5602 | 2015-08-07 |
| 1114210911 | Jeanmarie Carone | Audiologist | 8780 W Golf Rd, Niles, IL 60714-5602 | 2011-05-26 |
| 1467767855 | Martin Emil Anderson Jr. | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2010-08-10 |
| 1770804197 | Raymond M Handler Md Sc | Specialist | 8780 W Golf Rd, Niles, IL 60714-5602 | 2010-06-21 |
| 1144479064 | Mary Ann Jordan | Audiologist | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2008-09-16 |
| 1043408594 | Julie Ann Landgraf | Audiologist-Hearing Aid Fitter | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2007-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437541125 | Chris Kim | Physician Assistant | 8555 N National Ave, Niles, IL 60714-2229 | 2015-03-04 |
| 1487050175 | Tatum Bohls | Physician Assistant | 6911 W Howard St, Niles, IL 60714-3721 | 2014-11-07 |
| 1457439408 | Brian Hennig | Physician Assistant | 7900 N Milwaukee Ave Ste 17, Niles, IL 60714-3164 | 2006-11-01 |
| 1952370652 | Sandra G Witten | Physician Assistant | 8780 W Golf Rd Ste 303, Niles, IL 60714-5611 | 2006-03-15 |
| 1639618085 | Hillary Slingo | Physician Assistant | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2017-02-17 |
| 1487096855 | Natalia E Pajak | Physician Assistant | 7900 N Milwaukee Ave, Ste. 17, Niles, IL 60714-3159 | 2013-07-25 |
| 1134464704 | Margaret R Ostrowski | Physician Assistant | 7900 N Milwaukee Ave, Ste. 17, Niles, IL 60714-3159 | 2012-12-07 |
| 1902193550 | Robert John Francis | Physician Assistant | 703 E Main St, Niles, MI 49120-2637 | 2011-07-05 |
| 1396070801 | Amy E. Hedstrom | Physician Assistant | 7900 N Milwaukee Ave Ste 17, Niles, IL 60714 | 2009-10-16 |
| 1164618559 | April Huggett | Physician Assistant | 61 N Saint Joseph Ave, Niles, MI 49120-2207 | 2007-09-19 |
| Find all providers in NILES | ||||
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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.