Organization Active NPI

Ferguson Life Health Centers of Nebraska

  • General Practice Physician
  • Lincoln, NE
National Provider Identifier
1467955641
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FERGUSON LIFE HEALTH CENTERS OF NEBRASKA
Practice address
4747 Pioneers Blvd Ste 600
Lincoln, NE 68506-5332
Phone
(402) 843-6910
Fax
(973) 947-7009
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Derek Ferguson, DCNPI 1154586121
Title
Owner
Phone
(973) 210-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4747 Pioneers Blvd Ste 600
Lincoln, NE 68506-5332

Mailing address

375 Route 10
Whippany, NJ 07981-2115
Phone (973) 210-3838

National Provider Directory

National Provider Directory

Locations

4747 Pioneers Blvd
Ste 600
Lincoln, NE 68506
Phone (402) 483-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1467955641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812115",
            "telephone_number": "973-210-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 PIONEERS BLVD STE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065332",
            "telephone_number": "402-843-6910",
            "fax_number": "973-947-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON LIFE HEALTH CENTERS OF NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-210-3838",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.