Organization Active NPI

Rutherford Ear Nose & Throat PA

  • Otolaryngology Physician
  • Rutherfordton, NC
National Provider Identifier
1679645451
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35330 Issued in NC
Legal business name
RUTHERFORD EAR NOSE & THROAT PA
Practice address
175 Tryon Rd
Suite a
Rutherfordton, NC 28139-3036
Phone
(828) 286-0632
Fax
(828) 286-5644
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Patric W Ferguson, M.D.
Title
Owner
Phone
(828) 286-0632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 2

IdentifierTypeStateIssuer
1639269665OtherNPI
890221RMedicaidNC

National Provider Directory

National Provider Directory

Locations

175 Tryon Rd
Ste A
Rutherfordton, NC 28139
Phone (828) 286-0632

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1679645451",
    "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": {
        "organization_name": "RUTHERFORD EAR NOSE & THROAT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "PATRIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-286-0632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "35330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639269665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890221R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

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.

Verify at the official NPI Registry.