FERGUSON MEDICAL LABORATORIES INC (NPI# 1992789507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992789507 |
| Entity Type | Organization |
| Organization Name | FERGUSON MEDICAL LABORATORIES INC |
| Practice Address |
1801 W 32nd St Bldg B Suite 101 Joplin MO 64804-1528 |
| Mailing Address |
Po Box 20452 Fml-credentialing Columbus OH 43220-0452 |
| Practice Telephone | 4176236330 |
| Practice Fax Number | 4176233950 |
| Mailing Telephone | 6144422406 |
| Mailing Fax Number | 6144422410 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2015-01-27 |
| Authorized Official Name | MICHAEL P HURLY (PRESIDENT) |
| Authorized Official Telephone | 4176236330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 26D0666300 | MO | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | 26D0445616 | MO | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | 26D0445668 | MO | Laboratories |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 700432206 | 05 | |
| MERCY | F21460 | 01 | |
| NHC HEALTH | 00002307 | 01 | |
| MO | RR MEDICARE | 690077013 | 01 |
| TRAVELERS | CN6673 | 01 | |
| KS | 100410710A | 05 | |
| HEALTHLINK | 183098 | 01 | |
| MO | RR MEDICARE | CN6673 | 01 |
| MO | BCBS | 2182 | 01 |
| Street Address |
1801 W 32ND ST BLDG B SUITE 101 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053520106 | Kathrina Andrea Elaine Alexander | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2007-05-22 |
| 1790769305 | Margaret E Janssen | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2005-12-06 |
| 1396729901 | Craig P Patterson | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2005-12-06 |
| 1417931023 | Michael P Hurly | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730522806 | Sharon Ann Secola | Pathology | 1801 W 32nd St Ste 101, Joplin, MO 64804-1528 | 2013-04-09 |
| 1366685794 | Farzan Eskandari | Pathology | 1801 W 32nd St Ste B101, Joplin, MO 64804-1515 | 2009-04-15 |
| 1447235692 | Michael J Kane | Pathology | 1801 W 32nd St, Bldg B, Joplin, MO 64804-1528 | 2005-12-09 |
| 1962702225 | Joplin Pathology Professionals PC | Pathology | 2727 Mcclelland Blvd, St. John's Regional Med Ctr Pathology Dept, Joplin, MO 64804-1626 | 2010-11-02 |
| 1104098664 | John Harland Irlam | Pathology | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2008-03-25 |
| 1053520106 | Kathrina Andrea Elaine Alexander | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2007-05-22 |
| 1790761609 | Lee G. Beckwith | Pathology | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-12-22 |
| 1790769305 | Margaret E Janssen | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2005-12-06 |
| 1396729901 | Craig P Patterson | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2005-12-06 |
| 1417931023 | Michael P Hurly | Pathology | 1801 W 32nd St Bldg B, Joplin, MO 64804-1528 | 2005-12-06 |
| Find all providers in JOPLIN | ||||
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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.