MR. DAVID W FERGUSON (NPI# 1740271717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740271717 |
| Entity Type | Individual |
| Full Name | MR. DAVID W FERGUSON |
| Credential | P.A. |
| Practice Address |
1341 Medical Park Dr 201 Melbourne FL 32901-3235 |
| Mailing Address |
1341 Medical Park Dr Ste 201 Melbourne FL 32901-3235 |
| Practice Telephone | 3217689914 |
| Practice Fax Number | 3219531894 |
| Mailing Telephone | 3217689914 |
| Mailing Fax Number | 3219531894 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3501 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255760559 | David M Ferguson | Home Health Aide | 308 W First St, Arcanum, OH 45304-1167 | 2013-11-06 |
| 1124329792 | David Alan Ferguson | Pharmacist | 3033 Vintage Ave, Juneau, AK 98801 | 2010-11-12 |
| 1477737468 | David Wayne Ferguson | Social Worker | 685 Desoto St, Salt Lake City, UT 84103-2132 | 2007-12-26 |
| 1568508794 | David Burton Ferguson | Dentist | 1706 Greystone Rdg, San Antonio, TX 78258-4506 | 2007-01-29 |
| 1104874122 | David J Ferguson | Pathology | 435 N Broadway Ste B, De Pere, WI 54115-2516 | 2006-05-04 |
| 1134198484 | David Ferguson | Physical Therapist | 1207 Indian Paint Trl, Lewisville, TX 75067-5537 | 2006-03-17 |
| 1235111444 | David B. Ferguson | Dentist | 398 192nd Armored Tank Battalion Rd, Bldg 1022 Rm 231, Fort Knox, KY 40121-5116 | 2005-11-15 |
| 1245221753 | David Royce Ferguson | Chiropractor | 3106 Us Highway 27 S, Cynthiana, KY 41031-9603 | 2005-11-03 |
| 1477553006 | David M Ferguson | Dentist | 4310 Medical Pkwy, Ste 201, Austin, TX 78756-3335 | 2005-07-26 |
| 1275188070 | David Ferguson | Psychologist | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2019-08-08 |
| Street Address |
1341 MEDICAL PARK DR 201 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293859 | Atlantic Orthopaedic Group Pa | Specialist | 1341 Medical Park Dr, Ste 201, Melbourne, FL 32901-3235 | 2005-05-23 |
| 1942678958 | Mark William Snavely | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2015-09-08 |
| 1679802599 | Coastline Imaging Inc | Occupational Therapy Assistant | 1341 Medical Park Dr, Ste. 202, Melbourne, FL 32901-3235 | 2009-12-24 |
| 1861663239 | Andrew T Sander | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2008-03-13 |
| 1437330750 | Coastline Imaging Inc | Specialist | 1341 Medical Park Dr, Suite 101, Melbourne, FL 32901-3235 | 2007-11-15 |
| 1134262710 | Stephen Emile Theriault | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2007-02-14 |
| 1568569531 | Terry David Johnson | Occupational Therapist | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2006-09-20 |
| 1265492938 | Russell Emmett Davis IIi | Occupational Therapist | 1341 Medical Park Dr, Melbourne, FL 32901-3235 | 2006-03-25 |
| 1093706079 | Margaret L Avilla | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
| 1447256284 | Josse Anthony Mazo-mayorquin | Psychiatry & Neurology | 1341 Medical Park Dr, Suite 101 A, Melbourne, FL 32901-3235 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093263873 | Kaitlin Lassen | Physician Assistant | 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8565 | 2016-09-21 |
| 1386815835 | Jessica L Boudreaux-milligan | Physician Assistant | 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935 | 2008-03-12 |
| 1013106376 | Sabrina Wu Staples | Physician Assistant | 3337 Hoofprint Dr, Melbourne, FL 32940-2304 | 2007-10-23 |
| 1528032547 | David A Harris | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 | 2006-02-15 |
| 1023094414 | Patrick Gene Campbell | Physician Assistant | 1494 Avocado Ave, Melbourne, FL 32935-6532 | 2005-12-19 |
| 1184618233 | George David Mccullough | Physician Assistant | 1051 S Hickory St, Ste A, Melbourne, FL 32901-1962 | 2005-09-06 |
| 1255877981 | Michael Paul Teepe | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-01-19 |
| 1336597137 | Barbara Suzanne Coleman | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2016-06-02 |
| 1144687534 | Alexis Best | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-01-15 |
| 1346662103 | Casey W Langel | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2014-01-14 |
| Find all providers in MELBOURNE | ||||
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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.