Active NPI
James Thompson Ferguson, PA-C
- Physician Assistant
- Newberg, OR
National Provider Identifier
1346447851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01090
- Practice address
- 1000 N Providence Dr Ste 210
Newberg, OR 97132-7582 - Phone
- (503) 537-5900
- NPI assigned
- Jun 28, 2007
- Last updated
- Nov 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 310 | AK | |
| Physician Assistant | 363A00000X | PA01090 | OR | Primary |
Addresses
Primary practice location
1000 N Providence Dr Ste 210
Newberg, OR 97132-7582
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
306 W 5th Ave
Nome, AK 99762-0966
Phone (907) 443-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310 | AK | MD | Physician Assistant |
| PA01090 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1346447851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N PROVIDENCE DR STE 210",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971327582",
"telephone_number": "503-537-5900"
}
],
"practiceLocations": [
{
"address_1": "306 W 5th Ave",
"address_purpose": "LOCATION",
"city": "Nome",
"state": "AK",
"postal_code": "997620966",
"country_code": "US",
"telephone_number": "907-443-3311",
"fax_number": "907-443-3139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "JAMES",
"middle_name": "THOMPSON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "310",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.