Harold a Ferguson Jr

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004371 Issued in OH

Legal business name

HAROLD A FERGUSON JR

Practice address

450 B Washington Jackson Rd
Suite 102
Eaton, OH 45320

Phone

(937) 456-8360

Fax

(937) 456-8363

NPI assigned

May 21, 2007

Last updated

Aug 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harold Allen Ferguson Jr., D.O.NPI 1659312205

Title

Physician

Phone

(937) 456-8360

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold Allen Ferguson Jr., D.O.

  • Family Medicine Physician
  • Eaton, OH
  • NPI 1659312205
  Medicare reassignment NPD Authorized official
• Kasidy Gail Depew, PA-C

  • Physician Assistant
  • Eaton, OH
  • NPI 1053775395
  Medicare reassignment
• Deanyl Lycole Denlinger, FNP-BC

  • Family Nurse Practitioner
  • Eaton, OH
  • NPI 1427380427
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1164630158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 B WASHINGTON JACKSON RD",
            "address_2": "SUITE 102",
            "city": "EATON",
            "state": "OH",
            "postal_code": "45320",
            "telephone_number": "937-456-8360",
            "fax_number": "937-456-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 B WASHINGTON JACKSON RD",
            "address_2": "SUITE 102",
            "city": "EATON",
            "state": "OH",
            "postal_code": "45320",
            "telephone_number": "937-456-8360",
            "fax_number": "937-456-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD A FERGUSON JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-456-8360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659312205",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0667292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald A Gross, RPH
• Ashley B Grubb, PA-C
• Amy Hanser, MSW, LISW-S
• Sarah Hanson, LMT
• Karen Christine Harmon-Berry, LISW-S
• Deborah Kathleen Hater, LCDCIII
• Kira T Haubach, NP-C
• Andrew K Hayden, PT ASSISTANT
• Heartland of Eaton Oh LLC (Heartland of Eaton)
• Craig Anthony Hewitt, DDS

• Family Medicine Physician in Eaton, OH
• Providers in Eaton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.