Raymond Scott Fergus, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C4476 Issued in AR

Practice address

611 W Lee Ave
Osceola, AR 72370-3001

Phone

(870) 563-7180

NPI assigned

Nov 16, 2005

Last updated

Aug 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• North Division Street Emergency Physicians

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1750661500
  NPD (past)
• Northeast Arkansas Clinic, PA

  dba NEA Clinic

  • Multi-Specialty Clinic/Center
  • Jonesboro, AR
  • NPI 1376517177
  NPD (past)
• West Lee Emergency Physicians

  • Emergency Medicine Physician
  • Osceola, AR
  • NPI 1871872846
  NPD (past)
• Genesis Emergency Medicine Services LLC

  • Emergency Medicine Physician
  • Atoka, OK
  • NPI 1669425682
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1801878897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723700006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W LEE AVE",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703001",
            "telephone_number": "870-563-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUS",
        "first_name": "RAYMOND",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C4476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103482001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Lowery Everhart, ECDT
• Roxanne J Everhart, LAC
• Nicole Evers, MS, CCC-SLP
• Families, Inc. of Arkansas (Families, Inc.)
• Stacy Lynn Faulkner
• Bridgette Jean Fielder, LPC
• First Step Arkansas, LLC (Arkids Pediatric Day Center Osceola)
• Amy J Flannigan, PD
• Jonathan Followell
• Joanna Ford, LMSW

• Surgery Physician in Osceola, AR
• Providers in Osceola, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.