Active NPI
Jennifer Endaya Fergeson, DO
- Allergy & Immunology Physician
- Sarasota, FL
National Provider Identifier
1326337577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- OS12455
- Practice address
- 3570 S Tuttle Ave
Sarasota, FL 34239-6405 - Phone
- (941) 927-4888
- Fax
- (941) 927-5808
- NPI assigned
- Mar 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS12455 | FL | |
| Allergy & Immunology Physician | 207K00000X | OS12455 | FL | Primary |
Addresses
Primary practice location
3570 S Tuttle Ave
Sarasota, FL 34239-6405
Mailing address
3570 S Tuttle Ave
Sarasota, FL 34239-6405
Phone (941) 927-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Allergy/Immunology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3570 S Tuttle Ave
Sarasota, FL 34239-6405
Phone (941) 927-4888
Hospital & facility affiliations
- Sarasota Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugh H Windom MD PA | Allergy & Immunology | Current | Accepting new patients |
| Pediatric Gastroenterology Hepatology & Nutrition of FL P a | Past | Accepting new patients | |
| Sarasota FL Clinical Research, LLC | Past | Accepting new patients |
Locations
3570 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 927-4888
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Sarasota, FL
- NPI 1962701193
-
- Pediatric Gastroenterology Physician
- St Petersburg, FL
- NPI 1780787382
-
- Research Clinic/Center
- Sarasota, FL
- NPI 1396492526
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1326337577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 S TUTTLE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396405",
"telephone_number": "941-927-4888",
"fax_number": "941-927-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 S TUTTLE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396405",
"telephone_number": "941-927-4888",
"fax_number": "941-927-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGESON",
"first_name": "JENNIFER",
"middle_name": "ENDAYA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS12455",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "OS12455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.