Individual provider Active NPI

John B Ferguson III, MD

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1790780534
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DI-0000754 Issued in DE
Practice address
2710 Centerville Rd
Ste 102
Wilmington, DE 19808-1652
Phone
(302) 993-1300
Fax
(302) 993-1400
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DI-0000754 DE Primary

Addresses

Primary practice location

2710 Centerville Rd
Ste 102
Wilmington, DE 19808-1652

Mailing address

2710 Centerville Rd
Ste 102
Wilmington, DE 19808-1644
Phone (302) 993-1300

Other identifiers 1

IdentifierTypeStateIssuer
0000157601MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20120313000400 DE Practitioner - Ophthalmology 7113186008 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DI-0000754DEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Eye Surgeons PA Ophthalmology CurrentSince Mar 1, 2001 Accepting new patients

Locations

2710 Centerville Rd
Ste 100
Wilmington, DE 19808
Phone (302) 655-3388

2710 Centerville Rd
Ste 102
Wilmington, DE 19808
Phone (302) 993-1300

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/07des9gf

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1790780534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 CENTERVILLE RD",
            "address_2": "STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081644",
            "telephone_number": "302-993-1300",
            "fax_number": "302-993-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 CENTERVILLE RD",
            "address_2": "STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081652",
            "telephone_number": "302-993-1300",
            "fax_number": "302-993-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "DI-0000754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000157601",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.