Active NPI
Susan M Ferguson, M.D.
- Hematology & Oncology Physician
- Alabaster, AL
National Provider Identifier
1427105675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4175
- 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, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051519329 | Other | AL | BCBS PROVIDER ID |
| 108623 | Medicaid | AL | |
| 26-4105002 | Other | TAX ID | |
| 009940155 | Medicaid | AL | |
| 752974799 | Other | TAX ID | |
| 510-48638 | Other | AL | BLUE CROSS BLUE SHIELD |
| P00120269 | Other | AL | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4175 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Clinic, P.C. | Hematology & Oncology | Past | Accepting new patients |
| Central Alabama Hematology & Oncology, P.C. | Hematology & Oncology | Past | 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.
-
- Hematology & Oncology Physician
- Alabaster, AL
- NPI 1578701777
-
- Hematology & Oncology Physician
- Alabaster, AL
- NPI 1659428811
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1124086509
Hematology & Oncology
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.