Gregory Matthew Ferro, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02000365A Issued in IN

Practice address

1832 Prairie Ave
South Bend, IN 46613-1400

Phone

(574) 287-5712

Fax

(574) 289-2763

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1215923313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 PRAIRIE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466131400",
            "telephone_number": "574-287-5712",
            "fax_number": "574-289-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 PRAIRIE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466131400",
            "telephone_number": "574-287-5712",
            "fax_number": "574-289-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRO",
        "first_name": "GREGORY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000365A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brionne Denay Fergison
• Leonard Ferguson, M.D.
• Fred J. Ferlic, M.D.
• Ivette Ferreras, MSW
• Amber Rose Ferrill, RBT
• Timothy M Ferro, RPH
• Laura Marie Fessler, MSN, CCRN, AGACNP-BC
• Richard David Fessler, MD, PHD
• Samuel Fett
• FHC Family Home Care

• Family Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.