Daniel Ferguson, M.D.
Organization Active NPI Internal Medicine Physician · Slippery Rock, PA
NPI 1720003700 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720003700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD040440L (PA)
- Legal business name
- DANIEL FERGUSON, M.D.
- Practice address
- 621 Kelly Blvd
Slippery Rock, PA 16057-8523 - Phone
- (724) 794-4009
- Fax
- (724) 794-4099
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Daniel Ferguson, M.D.
- Title
- Sole Proprietor
- Phone
- (724) 794-4009
Practitioners 1
-
Daniel Ferguson, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD040440L | PA | Yes |
Addresses
Primary practice location
621 Kelly Blvd
Slippery Rock, PA 16057-8523
Mailing address
621 Kelly Blvd
Slippery Rock, PA 16057-8523
Phone (724) 794-4009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012360630003 | Medicaid | PA | |
| 176783 | Other | PA | BLUE CROSS/BLUE SHIELD |
| 216810 | Other | PA | UPMC INSURANCE |
Other providers in Slippery Rock, PA
- Trina Gabriela Cicco
- Joseph Cintavey
- Click Chiropractic PLLC
- Danielle Collier
- Shelby Marie Collier
- David L Gordley DDS LLC
- Danielle E Devitto
- Martin Emerson Doyle
- Nicole Driscoll
- David Joseph Duryea
All providers in Slippery Rock, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.