COLTON LEE FERGUSON (NPI# 1962960252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962960252 |
| Entity Type | Individual |
| Full Name | COLTON LEE FERGUSON |
| Practice Address |
2711 Cedarwood Ct Jefferson City MO 65109-9313 |
| Practice Telephone | 5738215399 |
| Mailing Telephone | 5738215399 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2711 CEDARWOOD CT |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-9313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609334416 | Kelsey Schenewerk | Student in an Organized Health Care Education/Training Program | 233 Joe Ln, Jefferson City, MO 65101-5531 | 2019-03-11 |
| 1689132979 | Chelsi Lynne Emerson | Student in an Organized Health Care Education/Training Program | 3523 Shamrock Rd, Jefferson City, MO 65101-9206 | 2019-03-06 |
| 1609306315 | Alyssa Danielle Higgins | Student in an Organized Health Care Education/Training Program | 1125 Madison St Dept Of, Jefferson City, MO 65101-5227 | 2017-06-14 |
| 1023312550 | James David Dolbow | Student in an Organized Health Care Education/Training Program | 2021 N Sizer Ave Apt 224, Jefferson City, TN 37760-5149 | 2010-12-23 |
| 1982257960 | Kahlil A Gaiters | Student in an Organized Health Care Education/Training Program | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-07-19 |
| 1578025540 | Tiffany Faye Burns | Student in an Organized Health Care Education/Training Program | 2725 Merchants Dr, Jefferson City, MO 65109-1161 | 2019-04-01 |
| 1699107672 | Kevin Dwayne Hyatt | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2013-08-01 |
| 1073862124 | Sheri Agatha Nsamenang | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272874 | Jacob Oliver Allen | Student in an Organized Health Care Education/Training Program | 3506 Frontier Dr, Saint Charles, MO 63303-6636 | 2020-10-11 |
| 1194323378 | Nicholas Andrews | Student in an Organized Health Care Education/Training Program | 2308 Sw Hawk View Rd, Lees Summit, MO 64082-4095 | 2020-10-11 |
| 1639777816 | Brittany Hodgman | Student in an Organized Health Care Education/Training Program | 1329 Governors Run Ct, O Fallon, MO 63366-5577 | 2020-10-11 |
| 1003423799 | Alexander Sextro | Student in an Organized Health Care Education/Training Program | 921 Saint Louis St, Florissant, MO 63031-4934 | 2020-09-26 |
| 1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
| 1538773361 | Aarika Danielle Gardner | Student in an Organized Health Care Education/Training Program | 560 W Bryant Apt D207, Springfield, MO 65810-8329 | 2020-08-31 |
| 1801409545 | Hannah Walker | Student in an Organized Health Care Education/Training Program | 7507 Parkdale Ave Apt 3e, Clayton, MO 63105-2853 | 2020-08-24 |
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
| 1174132948 | Trevor William Harvey | Student in an Organized Health Care Education/Training Program | 1908 E Parrin Ave, Ozark, MO 65721-4508 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.