Jon J. Ferguson, D.C.
Individual provider Active NPI Chiropractor · Rockville, IN
NPI 1801965751 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801965751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08000720A (IN)
- Practice address
- 393 West U.S. Highway #36
Rockville, IN 47872 - Phone
- (765) 569-3440
- Fax
- (765) 569-3362
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
393 W US Hwy 36
Rockville, IN 47872-7384
Phone (765) 569-3440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031216000081 | IN | Practitioner - Chiropractic | 6103720099 | Practice locations: Rockville, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000720A | IN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000720A | IN | Yes |
Addresses
Primary practice location
393 West U.S. Highway #36
Rockville, IN 47872
Mailing address
393 West U.S. Highway #36
Rockville, IN 47872
Phone (765) 569-3440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100326290A | Medicaid | IN |
Other providers in Rockville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.