Individual provider Active NPI

Susan M Ferguson, M.D.

  • Hematology & Oncology Physician
  • Alabaster, AL
National Provider Identifier
1427105675
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4175 Issued in AL
Practice address
1024 1St St N
Alabaster, AL 35007-8703
Phone
(205) 664-4051
Fax
(205) 664-4054
NPI assigned
Jan 3, 2007
Last updated
Jun 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4175 AL Primary
Medical Oncology Physician 207RX0202X 4175 AL

Addresses

Primary practice location

1024 1St St N
Alabaster, AL 35007-8703

Mailing address

1024 1St St N
Alabaster, AL 35007-8703
Phone (205) 664-4051

Other identifiers 7

IdentifierTypeStateIssuer
051519329OtherALBCBS PROVIDER ID
108623MedicaidAL
26-4105002OtherTAX ID
009940155MedicaidAL
752974799OtherTAX ID
510-48638OtherALBLUE CROSS BLUE SHIELD
P00120269OtherALRAILROAD MEDICARE/PGBA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4175ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Clinic, P.C. Hematology & Oncology Past Accepting new patients
Central Alabama Hematology & Oncology, P.C. Hematology & Oncology PastSince Apr 1, 2009 Accepting new patients
Central Alabama Oncology, L.L.C. Hematology & Oncology Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1427105675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078703",
            "telephone_number": "205-664-4051",
            "fax_number": "205-664-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078703",
            "telephone_number": "205-664-4051",
            "fax_number": "205-664-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "4175",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AL",
            "license": "4175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "051519329",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108623",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "26-4105002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940155",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752974799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-48638",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PGBA",
            "identifier": "P00120269",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.