DONALD FERGUSON JR. (NPI# 1831373414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831373414 |
| Entity Type | Individual |
| Full Name | DONALD FERGUSON JR. |
| Credential | PHD |
| Practice Address |
325 N State of Franklin Rd Johnson City TN 37604-6062 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234396242 |
| Mailing Telephone | 4234336039 |
| Mailing Fax Number | 4234336060 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
ML7576 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LAB MEDICARE PIN | 3401356 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477798270 | Donald John Ferguson Jr. | Counselor | 435 5th Street Ted Stevens Way, Kotzebue, AK 99752-0256 | 2008-12-08 |
| 1073557716 | Donald D Ferguson | Psychologist | 951 Kimball Ln Ste 206, Infinite Relationships, LLC, Verona, WI 53593-1786 | 2006-06-15 |
| 1518584010 | Donald Wayne Ferguson | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-06-30 |
| 1669515003 | Donald John Ferguson | Dentist | 100 E Newton St, Room 114b, Boston, MA 02118-2308 | 2007-02-15 |
| 1558478875 | Donald William Ferguson II | Internal Medicine | 601 Omega Dr, Suite 205, Arlington, TX 76014-2075 | 2006-08-23 |
| Street Address |
325 N STATE OF FRANKLIN RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477022 | Kent Hjerpe | Specialist | 325 N State of Franklin Rd, First Floor, Johnson City, TN 37604-6056 | 2005-06-14 |
| 1770195950 | Tripti Sharma | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-08-19 |
| 1922617869 | Melanie Natasha Rayan | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-27 |
| 1700494754 | Fares Ghanem | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-16 |
| 1821606047 | Nizar Obeidat | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-14 |
| 1578188603 | Ahmad Samih Al Tamari | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-06-15 |
| 1548883424 | Elizabeth Van Buren | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-26 |
| 1881216653 | Andres Rene Diaz | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-14 |
| 1912528860 | Eric Bookout | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-01 |
| 1619597309 | Sarah Tolliver | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727958 | Jack Rary | Pathology | 325 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164608857 | Kenneth E Ferslew | Pathology | Building 6, Magnolia and Fifth, Mountain Home, TN 37684-0699 | 2008-01-14 |
| 1427525567 | Shelia P Dawling | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2018-10-26 |
| 1740772839 | Matthew T Hardison | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2018-06-04 |
| 1093202137 | Mdconnect Healthcare Corporation | Pathology | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2018-04-14 |
| 1336549971 | Jess G. Evans | Pathology | 1701 Century Center Cv, Memphis, TN 38134-8975 | 2014-09-02 |
| 1164858924 | Carol Sommerfelt | Pathology | 11126 Kingston Pike, Knoxville, TN 37934-2806 | 2013-09-24 |
| 1043550957 | Ryan B Paulsen | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2013-03-01 |
| 1487810453 | Timothy A Robert | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2008-07-30 |
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.