Individual provider Active NPI

Tiffany R Ferguson, DO

  • Emergency Medicine Physician
  • Durant, OK
National Provider Identifier
1619124989
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4677 Issued in OK
Practice address
1600 W University Blvd
Durant, OK 74701-3045
Phone
(580) 924-5500
Fax
(580) 924-1991
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4677 OK
Emergency Medicine Physician 207P00000X 4677 OK Primary

Addresses

Primary practice location

1600 W University Blvd
Durant, OK 74701-3045

Mailing address

1600 W University Blvd
Durant, OK 74701-3045
Phone (580) 924-5500

Other identifiers 3

IdentifierTypeStateIssuer
37105OtherOKOBNDD
402616OtherOKPTAN
4677OtherOKSTATE LICENSURE

Other names 1

  • Dr. Tiffany R Pinkerton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000385 OK Practitioner - Family PracticePractitioner - Emergency Medicine 5991868275 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4677OKMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Durant Hma Physician Management, LLC CurrentSince Jun 22, 2021 Accepting new patients
Elite Integral Staffing LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince Oct 31, 2022 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Washita Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 410
Pleasanton, CA 94588

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1400 Bryan Dr
Ste 201
Durant, OK 74701
Phone (580) 924-4704

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1619124989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013045",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013045",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TIFFANY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4677",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "37105",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "402616",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "4677",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PINKERTON",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.