Individual provider Active NPI

Angela Beth Ferguson, MD

  • Pediatrics Physician
  • Scott Depot, WV
National Provider Identifier
1366420614
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20603 Issued in 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
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20603 WV Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000109 WV Practitioner - Pediatric Medicine 3971652918 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare, Inc CurrentSince Jun 28, 2022 Accepting new patients
Women Care Inc Pediatrics Current Accepting new patients
Womencare, Inc CurrentSince Jun 20, 2019 Accepting new patients
Womencare Inc CurrentSince Jun 27, 2011 Accepting new patients
Womencare Inc CurrentSince Oct 4, 2019 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 CurrentSince Oct 4, 2019 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Feb 10, 2022 Accepting new patients
Womencare, Inc Current Accepting new patients
Cardinal Pediatrics PLLC Pediatrics Past Accepting new patients

Locations

100 Florida St
Charleston, WV 25302
Phone (304) 348-6613

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466

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

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1366420614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301-6 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301-6 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ANGELA",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "20603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.