Active NPI
Patric Wesley Ferguson, M.D.
- Otolaryngology Physician
- Rutherfordton, NC
National Provider Identifier
1639269665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35330
- Practice address
- 175 Tryon Rd
Suite a
Rutherfordton, NC 28139-3036 - Phone
- (828) 286-0632
- Fax
- (828) 286-5644
- NPI assigned
- Oct 13, 2006
- Last updated
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35330 | NC | Primary |
Addresses
Primary practice location
175 Tryon Rd
Suite a
Rutherfordton, NC 28139-3036
Mailing address
175 Tryon Rd
Suite a
Rutherfordton, NC 28139-3036
Phone (828) 286-0632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890221R | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35330 | NC | MD | Otolaryngology Physician |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Rutherfordton, NC
- NPI 1679645451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1639269665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 TRYON RD",
"address_2": "SUITE A",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281393036",
"telephone_number": "828-286-0632",
"fax_number": "828-286-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 TRYON RD",
"address_2": "SUITE A",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281393036",
"telephone_number": "828-286-0632",
"fax_number": "828-286-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "PATRIC",
"middle_name": "WESLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "35330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890221R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutherfordton, NC
- Family Preservation Services of North Carolina, Inc.
- Family Preservation Services of North Carolina, LLC
- Family Preservation Services of North Carolina, LLC
- Maggie Leigh Fekete, RD, LDN
- Kristin E Fell
- Flourishing Lives Counseling, PLLC
- Foothills Home Care,LLC
- Foothills Home Health LLC
- Foothills Urology, P.a.
- Zachary John Fowler, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.