Stanley R Ferguson, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00220 Issued in OR

Practice address

775 SW 9TH St
Suite B
Newport, OR 97365-4895

Phone

(541) 265-2007

Fax

(541) 265-3533

NPI assigned

Nov 1, 2006

Last updated

Sep 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1124105838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SW 9TH ST",
            "address_2": "SUITE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654895",
            "telephone_number": "541-265-2007",
            "fax_number": "541-265-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SW 9TH ST",
            "address_2": "SUITE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654895",
            "telephone_number": "541-265-2007",
            "fax_number": "541-265-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "STANLEY",
        "middle_name": "R",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110047682",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coretta Jaquise Fells, BA, MA, PCRI, LPC
• Christine Felt, CRM
• Nick Ferber
• Aaron Ferguson
• Paula Jean Ferguson, CHW
• Dione Hoohauoli Fernandez
• Perla Isabel Figueroa Frias
• Karen Melissa Fischer, M.D.
• Elyn R Fisher
• Sheryl S Fisher, LPC, NCC

• Medical Physician Assistant in Newport, OR
• Providers in Newport, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.