Individual provider Active NPI

Laura Ferguson, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tyler, TX
National Provider Identifier
1689886772
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
N0016 Issued in TX
Practice address
4111 University Blvd
Tyler, TX 75701-6623
Phone
(903) 266-3400
Fax
(903) 566-0291
NPI assigned
May 3, 2007
Last updated
May 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N0016 TX
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X N0016 TX Primary

Addresses

Primary practice location

4111 University Blvd
Tyler, TX 75701-6623

Mailing address

4111 University Blvd
Tyler, TX 75701-6623
Phone (903) 266-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110120000906 TX Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 4385736370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Palliative CareGroup PAC ID 2062691223, 10 clinicians

Practice addresses (Care Compare)

4111 University Blvd
Tyler, TX 75701-6623
Phone (903) 566-9872

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Palliative Care Hospice and Palliative Medicine CurrentSince Sep 1, 2010 Accepting new patients

Locations

4111 University Blvd
Tyler, TX 75701
Phone (903) 266-3400

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hospice of East TexasTyler, TX, CCN 451534 Hospice Corporate Director
W-2 Managing Employee
Jan 16, 2021
Jan 16, 2021

Owned or controlled facilities with NPI records 1

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

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1689886772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016623",
            "telephone_number": "903-266-3400",
            "fax_number": "903-566-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016623",
            "telephone_number": "903-266-3400",
            "fax_number": "903-566-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0016",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "N0016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.