NPIMap

Individual provider Active NPI

Harold Allen Ferguson Jr., D.O.

  • Family Medicine Physician
  • Eaton, OH
National Provider Identifier
1659312205
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004371 Issued in OH
Practice address
450B Washington Jackson Rd
Suite 102
Eaton, OH 45320-7600
Phone
(937) 456-8360
Fax
(937) 456-8363
NPI assigned
Jun 8, 2006
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34004371 OH Primary

Addresses

Primary practice location

450B Washington Jackson Rd
Suite 102
Eaton, OH 45320-7600

Mailing address

450B Washington Jackson Rd
Suite 102
Eaton, OH 45320-7600
Phone (937) 456-8360

Other identifiers 11

IdentifierTypeStateIssuer
0636177OtherOHAETNA/US HEALTHCARE HMO
00000177331OtherOHBLUE CROSS BLUE SHIELD OH
31121296200OtherOHWORKERS COMP OHIO
311212962026OtherOHCARESOURCE
0667292MedicaidOH
34004371OtherOHMEDICAL LICENSE #
4358796OtherOHAETNA/US HEALTHCARE
000000177331OtherOHNATIONAL BENEFIT FUND
000000177331OtherOHONE NATION BENEFIT ADMIN
110028240OtherOHRAILROAD MEDICARE-PALMETT
1971455OtherOHCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000908 OH Practitioner - Family Practice 4789648213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

450 B Washington Jackson Rd
Eaton, OH 45320-7601

450 B Washington Jackson Rd
Suite 102
Eaton, OH 45320-8699
Phone (937) 456-8360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.93 of 100Reported as individual
Quality
92.23
Promoting interoperability
94
Improvement activities
40
Cost
75.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34004371OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harold a Ferguson Jr Family Medicine CurrentSince Jul 1, 2002 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Vandalia Rehab LLC Past Accepting new patients
New Lebanon Rehabilitation and Healthcare Center LLC Past Accepting new patients
Dayton Health Care, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Yellow Leasing Co, LLC Past Accepting new patients
FHS Centerville, Inc. Past Accepting new patients
Greenbriar SNF Opco LLC Past Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
October Enterprises, Inc. Past Accepting new patients
Arc at Trotwood LLC Past Accepting new patients
Mobile Medical Inc Past Accepting new patients
Pinnacle Health Care Center, Inc. Past Accepting new patients
Eaton Gardens Rehabilitation and Health Care LLC Past Accepting new patients
Legacy Miamisburg Operating Company, LLC Past Accepting new patients
Franklin Rehab LLC Past Accepting new patients

Locations

450B Washington Jackson Rd
Ste 102
Eaton, OH 45320
Phone (937) 456-8360

Interoperability endpoints

  • Direct secure messaging: harold.ferguson.1@593.direct.athenahealth.com
  • Direct secure messaging: hferguson305144@ecommunitydirect.com

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Maria-Joseph Living Care CenterDayton, OH, CCN 365322 Skilled nursing facility Adp of the SNF Jun 1, 2018
Respiratory and Nursing Center of DaytonMoraine, OH, CCN 365515 Skilled nursing facility Adp of the SNF Jun 1, 2018
Austin Trace Health and RehabilitationCenterville, OH, CCN 366466 Skilled nursing facility Adp of the SNF Mar 1, 2021
Southbrook Healthcare CenterSpringfield, OH, CCN 365424 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jul 1, 2021
Momentous Health at VandaliaVandalia, OH, CCN 366035 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Oct 1, 2024
Momentous Health at FranklinFranklin, OH, CCN 365595 Skilled nursing facility Adp of the SNF Oct 1, 2024
Greenbriar Nursing CenterEaton, OH, CCN 365854 Skilled nursing facility Adp of the SNF Oct 24, 2025
Overbrook Landing Health and RehabilitationXenia, OH, CCN 725009 Skilled nursing facility Adp of the SNF Jul 1, 2025

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1659312205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "address_2": "SUITE 102",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207600",
            "telephone_number": "937-456-8360",
            "fax_number": "937-456-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "address_2": "SUITE 102",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207600",
            "telephone_number": "937-456-8360",
            "fax_number": "937-456-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "HAROLD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE HMO",
            "identifier": "0636177",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OH",
            "identifier": "00000177331",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP OHIO",
            "identifier": "31121296200",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311212962026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0667292",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "34004371",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "4358796",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BENEFIT FUND",
            "identifier": "000000177331",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE NATION BENEFIT ADMIN",
            "identifier": "000000177331",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-PALMETT",
            "identifier": "110028240",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1971455",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.