Eric T Fergen (NPI# 1245622646, PAC ID# 9739406836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245622646 |
| PAC ID by PECOS | 9739406836 |
| Professional Enrollment ID | I20190508002464 |
| Full Name | Eric T Fergen |
| Organization Legal Name | AMBULATORY CARE CLINIC L.L.C |
| Address |
9053 Estate Thomas Suite 106 St Thomas VI 00802 |
| Phone Number | 3407776423 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688838030 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3000 N Arizona Ave, Chandler, AZ 85225-7717 | 4808275660 | BANNER URGENT CARE SERVICES LLC |
| 4232 W Bell Rd, Glendale, AZ 85308-4027 | 6234656360 | BANNER URGENT CARE SERVICES LLC |
| 6702 W Bethany Home Rd, Suite 13 15, Glendale, AZ 85303-4402 | 6234656345 | BANNER URGENT CARE SERVICES LLC |
| 7952 N 43rd Ave, Glendale, AZ 85301-1662 | 6234656330 | BANNER URGENT CARE SERVICES LLC |
| 1908 E Mckellips Rd, Mesa, AZ 85203-2866 | 4808275610 | BANNER URGENT CARE SERVICES LLC |
| 1955 W Guadalupe Rd, Suite 1, Mesa, AZ 85202-7487 | 4808275620 | BANNER URGENT CARE SERVICES LLC |
| 1940 W Glendale Ave, Phoenix, AZ 85021-7840 | 6022557690 | BANNER URGENT CARE SERVICES LLC |
| 3141 E Indian School Rd, Phoenix, AZ 85016-6807 | 6022557700 | BANNER URGENT CARE SERVICES LLC |
| 3247 E Bell Rd, Phoenix, AZ 85032-2707 | 6022557655 | BANNER URGENT CARE SERVICES LLC |
| 10330 N Scottsdale Rd, Suite 25, Scottsdale, AZ 85253-1427 | 6022557625 | BANNER URGENT CARE SERVICES LLC |
| 9053 Estate Thomas, Suite 106, St Thomas, VI 00802 | 3407776423 | AMBULATORY CARE CLINIC L.L.C |
| 3141 S Mcclintock Dr, Suite 1, Tempe, AZ 85282-5682 | 4808275650 | BANNER URGENT CARE SERVICES LLC |
| Organization Legal Name | AMBULATORY CARE CLINIC L.L.C |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Kyzer | Internal Medicine | Ambulatory Care Clinic L.l.c | 9053 Estate Thomas, Suite 106, St Thomas, VI 00802 |
| Diana L Leroux | Nurse Practitioner | Ambulatory Care Clinic L.l.c | 9053 Estate Thomas, Suite 106, St Thomas, VI 00802 |
| Meredith Lindsey | Physician Assistant | Ambulatory Care Clinic L.l.c | 9053 Estate Thomas, Suite 106, St Thomas, VI 00802 |
| Street Address |
9053 ESTATE THOMAS SUITE 106 |
| City | ST THOMAS |
| State | VI |
| Zip | 00802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Kyzer | Internal Medicine | Ambulatory Care Clinic L.l.c | 9053 Estate Thomas, Suite 106, St Thomas, VI 00802 |
| Elizabeth A Brown | Physical Therapy | Cog Restore, LLC | 9053 Estate Thomas, Royal Palms Suite 206, St Thomas, VI 00802 |
| Diana L Leroux | Nurse Practitioner | Ambulatory Care Clinic L.l.c | 9053 Estate Thomas, Suite 106, St Thomas, VI 00802 |
| Erica Leigh Benson | Physical Therapy | Cog Restore, LLC | 9053 Estate Thomas, Royal Palms Suite 206, St Thomas, VI 00802 |
| Sarah Terrible | Occupational Therapy | Cog Restore, LLC | 9053 Estate Thomas, Royal Palms Suite 206, St Thomas, VI 00802 |
| Erin Davidson | Physical Therapy | Cog Restore, LLC | 9053 Estate Thomas, Royal Palms Suite 206, St Thomas, VI 00802 |
| Deborah Lee Rice | Occupational Therapy | Cog Restore, LLC | 9053 Estate Thomas, Royal Palms Suite 206, St Thomas, VI 00802 |
| Shannon M M Tonin | Physical Therapy | Cog Restore, LLC | 9053 Estate Thomas, Royal Palms Suite 206, St Thomas, VI 00802 |
| Rasha Ibrahim Harris | Physical Therapy | Cog Restore, LLC | 9053 Estate Thomas, Royal Palms Suite 206, St Thomas, VI 00802 |
| Meredith Lindsey | Physician Assistant | Ambulatory Care Clinic L.l.c | 9053 Estate Thomas, Suite 106, St Thomas, VI 00802 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jovanni Jenkins | Physical Therapy | Vi Neurological Medical Group Inc. | 9003 Havensight Mall Havensight, St Thomas, VI 00802 |
| Kevin L Lenahan | Chiropractic | 9003 Havensight Mall, Suite 304, St Thomas, VI 00802 | |
| Patrick D Buchar | Chiropractic | Rt 38 Raphune Hill Bays, 407 8, St Thomas, VI 00802 | |
| Nicholas Thomas Rex | Physical Therapy | Therapy Works, LLC | 8 Barbel Plz Ab, St Thomas, VI 00802 |
| Byron W Biscoe Jr. | Ophthalmology | 8000 Nisky Ctr, 19b, St Thomas, VI 00802 | |
| Seshagari Alla | General Practice | 1606 6th St Sugar Estate, St Thomas, VI 00802 | |
| James D Nelson | Neurology | Vi Neurological Medical Group Inc. | 9003 Havensight Mall Havensight, St Thomas, VI 00802 |
| Lisa A Yanni | Chiropractic | 9003 Havensight Mall, Suite 304, St Thomas, VI 00802 | |
| Gilbert Comissiong | General Surgery | 9149 Sugar Estate, Suite 302, St Thomas, VI 00802 | |
| Srinivasa L Alla | General Practice | 1606 6th St Sugar Estate, St Thomas, VI 00802 | |
| Find all physicians in zip 00802 | |||
| City | ST THOMAS |
| Zip Code | 00802 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ST THOMAS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Eric T Fergen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.