Active NPI
Richard Arthur Ferguson, M.D.
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1568437556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7770009-1205
- Practice address
- 389 S 900 E
Salt Lake City, UT 84102-2310 - Phone
- (385) 282-2400
- NPI assigned
- Feb 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0074787 | MD | |
| Family Medicine Physician | 207Q00000X | 7770009-1205 | UT | Primary |
Addresses
Primary practice location
389 S 900 E
Salt Lake City, UT 84102-2310
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (385) 282-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0074787 | Other | MD | MARYLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0074787 | MD | MD | Family Medicine Physician |
| 7770009-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Past | Accepting new patients |
Locations
350 E Devon Ave
Itasca, IL 60143
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- General Acute Care Hospital
- Dennehotso, AZ
- NPI 1821167297
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- General Acute Care Hospital
- Tonalea, AZ
- NPI 1740359108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1568437556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "385-282-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022310",
"telephone_number": "385-282-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "RICHARD",
"middle_name": "ARTHUR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0074787",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "7770009-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND",
"identifier": "D0074787",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.