Active NPI
Elaine L Ferguson, DO
- Family Medicine Physician
- Salina, KS
National Provider Identifier
1689639775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0520829
- Practice address
- 2090 S Ohio St
Salina, KS 67401-6702 - Phone
- (785) 825-8221
- Fax
- (785) 825-0644
- NPI assigned
- Apr 20, 2006
- Reactivated
- Dec 14, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0520829 | KS | Primary |
Addresses
Primary practice location
2090 S Ohio St
Salina, KS 67401-6702
Mailing address
2090 S Ohio St
Salina, KS 67401-6702
Phone (785) 825-8221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100203040D | Medicaid | KS |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0520829 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comcare, P.a. | Past | Accepting new patients |
Interoperability endpoints
- elaine.ferguson@khindirect.org
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Salina, KS
- NPI 1487698312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1689639775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 S OHIO ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674016702",
"telephone_number": "785-825-8221",
"fax_number": "785-825-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 S OHIO ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674016702",
"telephone_number": "785-825-8221",
"fax_number": "785-825-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "ELAINE",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2018-12-14",
"deactivation_date": "2018-12-11",
"reactivation_date": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0520829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100203040D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.