NPIMap

Individual provider Active NPI

Eric Ferguson

  • Trauma Surgery Physician
  • Orange Park, FL
National Provider Identifier
1699783357
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME131546 Issued in FL
Practice address
1895 Kingsley Ave
Suite 300
Orange Park, FL 32073-4466
Phone
(904) 276-2549
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X ME131546 FL Primary

Addresses

Primary practice location

1895 Kingsley Ave
Suite 300
Orange Park, FL 32073-4466

Mailing address

1895 Kingsley Ave
Suite 300
Orange Park, FL 32073-4466

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.j.ferguson@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170619001737 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7214933746
I20171208000285 PA Practitioner - General Surgery 7214933746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811

1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-6157

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Mar 25, 2018 Accepting new patients
Prospect Health Access Network, Inc. Surgery CurrentSince Oct 9, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 9, 2017 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Surgery CurrentSince Mar 3, 2018 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Mar 3, 2018 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Emma L. Bixby Medical Center Past Accepting new patients
Upmc Altoona Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bixby Hospital Past Accepting new patients

Locations

620 Howard Ave
Ste 3F
Altoona, PA 16601
Phone (814) 889-7500

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 233
Chester, PA 19013
Phone (610) 499-0400

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

5401 Old York Rd
Ste 101
Philadelphia, PA 19141
Phone (215) 456-6178

9880 Bustleton Ave
Ste 205
Philadelphia, PA 19115
Phone (215) 676-2222

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1699783357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE",
            "address_2": "SUITE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE",
            "address_2": "SUITE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734466",
            "telephone_number": "904-276-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME131546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.j.ferguson@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.