Individual provider Active NPI

Philip Ellis Ferguson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fayetteville, AR
National Provider Identifier
1437283470
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
E5049 Issued in AR
Practice address
390 E Longview St
Fayetteville, AR 72703-4618
Phone
(479) 442-0144
Fax
(479) 442-4557
NPI assigned
Mar 14, 2007
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E5049 AR Primary

Addresses

Primary practice location

390 E Longview St
Fayetteville, AR 72703-4618

Mailing address

PO Box 1326
Jonesboro, AR 72403-1326
Phone (870) 930-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071026000073 AR Practitioner - Pathology 5698862423 Reassigns benefits to 3 organizations
I20220816002434 TX Practitioner - Pathology 5698862423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

390 E Longview St
Fayetteville, AR 72703-4618
Phone (479) 442-0144

900 N Owen Walters Boulevard
A Mo Health Center
Salina, OK 74365-5003
Phone (918) 434-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
71.7
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5049ARMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jun 28, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
Doctors' Pathology Services, PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 20, 2007 Accepting new patients
Doctors' Anatomic Pathology Services, PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jun 28, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
Baptist Memorial Hospital-Jonesboro Inc Past Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

1700 Harrison St
Batesville, AR 72501
Phone (501) 580-8892

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

411 E Matthews Ave
Jonesboro, AR 72401
Phone (501) 932-7430

830 Cobb St
Jonesboro, AR 72401

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1437283470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031326",
            "telephone_number": "870-930-3518",
            "fax_number": "870-930-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E LONGVIEW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034618",
            "telephone_number": "479-442-0144",
            "fax_number": "479-442-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "PHILIP",
        "middle_name": "ELLIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "E5049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.