Active NPI
Dayna Ferguson, MD
- Family Medicine Physician
- Kodiak, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3972
- Practice address
- 1915 E Rezanof Dr
Kodiak, AK 99615-6602 - Phone
- (907) 486-9521
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3972 | AK | Primary |
Addresses
Primary practice location
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Mailing address
PO Box 3706
Portland, OR 97208-3706
Phone (866) 907-1068
Other practice location 1
1818 E Rezanof Dr
Kima
Kodiak, AK 99615-6505
Phone (907) 486-6065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013759 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- 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
- Family Practice
- Education
- Yale University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 S Main St
Wolfeboro, NH 03894-4411
Phone (856) 686-4316
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hampshire Emergency Physician Associates PC | Current | Accepting new patients | |
| Monadnock Community Hospital | Current | Accepting new patients |
Locations
452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699
240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Wolfeboro, NH
- NPI 1629578000
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1316168180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3706",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083706",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 E REZANOF DR",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156602",
"telephone_number": "907-486-9521"
}
],
"practiceLocations": [
{
"address_1": "1818 E Rezanof Dr",
"address_2": "KIMA",
"address_purpose": "LOCATION",
"city": "Kodiak",
"state": "AK",
"postal_code": "996156505",
"country_code": "US",
"telephone_number": "907-486-6065",
"fax_number": "907-486-2248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "DAYNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "3972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013759",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.