Eileen Moran Ferguson, R.P.A.

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

06NJ1211 Issued in NJ

Practice address

2301 S Broad St
Philadelphia, PA 19148-3542

Phone

(215) 952-9155

Fax

(215) 952-5011

NPI assigned

Oct 5, 2009

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1336474642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 IRIS AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080949516",
            "telephone_number": "856-262-8745",
            "fax_number": "856-262-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483542",
            "telephone_number": "215-952-9155",
            "fax_number": "215-952-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "EILEEN",
        "middle_name": "MORAN",
        "credential": "R.P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "NJ",
            "license": "06NJ1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sloane Ferenchak, PSYD, MED
• Aquila Ferguson
• Ayesha Ferguson, MHS,LBS,LPC
• Charles Ferguson, CMT
• Christina J Ferguson
• Emma Ferguson, CRNP
• Jadae Celestine Ferguson
• Jamal-Kalee Ferguson Sr., LBS
• Jason Ferguson
• Jenna Adrienne Ferguson, CRNA

• Radiology Practitioner Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Radiology Practitioner Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.