Angela Beth Ferguson, MD
Individual provider Active NPI Pediatrics Physician · Scott Depot, WV
NPI 1366420614 · NPPES record last updated Dec 27, 2011
Key facts
- NPI
- 1366420614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 20603 (WV)
- Practice address
- 301-6 Great Teays Blvd
Scott Depot, WV 25560 - Phone
- (304) 757-6999
- Fax
- (304) 757-3252
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090521000109 | WV | Practitioner - Pediatric Medicine | 3971652918 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20603 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Women Care Inc | Pediatrics | Current | Accepting new patients |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current |
Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare, Inc | Current |
Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Cardinal Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Locations
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466
116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446
1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186
100 Florida St
Charleston, WV 25302
Phone (304) 348-6613
5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600
503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001
3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845
515 Main St
Madison, WV 25130
Phone (304) 369-0393
12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130
97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560
Interoperability endpoints
- https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20603 | WV | Yes |
Addresses
Primary practice location
301-6 Great Teays Blvd
Scott Depot, WV 25560
Mailing address
301-6 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-6999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7623269 | Other | WV | AETNA |
| 1807628000 | Medicaid | WV | |
| 001721959 | Other | WV | MS BCBS |
Other providers in Scott Depot, WV
- Daniel Eddy
- Deborah A Ellis
- Beth Bloom Emrick
- Envirocair, Inc
- Allison Farley
- Lucy Fielder
- Tanna E Finney
- Kenneth Ray Fly II
- Sarah Foster
- Jan Byrnside Frame
All providers in Scott Depot, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.