Emily Ferguson MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036975 Issued in CT

Legal business name

EMILY FERGUSON MD LLC

Practice address

41A Grove St
Putnam, CT 06260-2107

Phone

(860) 963-0313

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Emily Ferguson, M.D.

Title

Physician

Phone

(860) 963-0313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1225344781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41A GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41A GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602107",
            "telephone_number": "860-963-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY FERGUSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-963-0313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "036975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001369752",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Putnam, CT
• Providers in Putnam, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.