Active NPI
Philip Ellis Ferguson, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- E5049
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Mercy Hospital Northwest Arkansas
- Washington Regional Medical Center
- Northwest Medical Center-Springdale
- North Arkansas Regional Medical Center
- Cherokee Nation W W Hastings Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.85 of 100
- Quality
- 71.7
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5049 | AR | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Doctors' Pathology Services, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Doctors' Anatomic Pathology Services, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Fayetteville, AR
- NPI 1306819263
-
dba Arkansas Anatomic Pathology Laboratory
- Anatomic Pathology & Clinical Pathology Physician
- Jonesboro, AR
- NPI 1417046137
-
- Anatomic Pathology & Clinical Pathology Physician
- Jonesboro, AR
- NPI 1841236734
-
- Anatomic Pathology & Clinical Pathology Physician
- Jonesboro, AR
- NPI 1508872904
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
dba NEA Baptist Memorial Hospital
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
dba NEA Baptist Clinic Anesthesia
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1992036032
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
dba Emergency Medical Service Pro Fee
- Land Ambulance
- Harrison, AR
- NPI 1013907682
Hospital
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.