Homer a Ferguson, Jr, MD, PC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

Legal business name

HOMER A FERGUSON, JR, MD, PC

Practice address

3990 N Illinois
Swansea, IL 62226

Phone

(618) 277-1130

Fax

(618) 277-6651

NPI assigned

Jun 14, 2006

Organization subpart

No

Name

Homer A Ferguson II, MD

Title

Owner

Phone

(618) 277-1130

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2007.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1790728012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER A FERGUSON, JR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-277-1130",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1225033178",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.