Active NPI
John David Ferguson
- Hospitalist Physician
- Benton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- E-15439
- Practice address
- 5 Medical Park Dr Ste 304
Benton, AR 72015-3745 - Phone
- (501) 408-2429
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-15439 | AR | |
| Hospitalist Physician | 208M00000X | E-15439 | AR | Primary |
Addresses
Primary practice location
5 Medical Park Dr Ste 304
Benton, AR 72015-3745
Mailing address
2420 Riverfront Dr Apt 311
Little Rock, AR 72202-1762
Phone (501) 690-4004
Other practice location 1
4301 W Markham St # 634
Little Rock, AR 72205-7101
Phone (501) 686-5162
Other practice location 2
1808 W Main St
Russellville, AR 72801-2724
Phone (479) 968-2841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Medical Park Dr
Suite 304
Benton, AR 72015-3745
Phone (501) 408-2429
Hospital & facility affiliations
- Saline Memorial Hospital
- Arkansas Heart Hospital-Encore
- Arkansas Surgical Hospital
- Arkansas Heart Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Physician Services LLC | Single Specialty | Current | Accepting new patients |
| Inpatient Solutions | Single Specialty | Current | Accepting new patients |
| St Marys Physician Services, LLC | Single Specialty | Current | Accepting new patients |
| St Marys Physician Services, LLC | Single Specialty | Past | Accepting new patients |
Locations
5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Russellville, AR
- NPI 1124084991
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Russellville, AR
- NPI 1063626117
Single Specialty
-
- Interventional Cardiology Physician
- Russellville, AR
- NPI 1720356207
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1790775229
-
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1942260609
-
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1104387562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 RIVERFRONT DR APT 311",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722021762",
"telephone_number": "501-690-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MEDICAL PARK DR STE 304",
"city": "BENTON",
"state": "AR",
"postal_code": "720153745",
"telephone_number": "501-408-2429"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 634",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-5162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1808 W Main St",
"address_purpose": "LOCATION",
"city": "Russellville",
"state": "AR",
"postal_code": "728012724",
"country_code": "US",
"telephone_number": "479-968-2841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "JOHN",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-15439",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-15439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.