Jeffery Albert Fergerson, C.C.P., L.P.

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

PFO314 Issued in TX

Practice address

14603 Huebner Rd
BLG 28 Ste 28101
San Antonio, TX 78230-5469

Phone

(210) 614-7074

Fax

(210) 614-7091

NPI assigned

Oct 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1841443306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD",
            "address_2": "BLG 28 STE 28101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305469",
            "telephone_number": "210-614-7074",
            "fax_number": "210-614-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD",
            "address_2": "BLG 28 STE 28101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305469",
            "telephone_number": "210-614-7074",
            "fax_number": "210-614-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGERSON",
        "first_name": "JEFFERY",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "C.C.P., L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "TX",
            "license": "PFO314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisca M Ferdin
• Josie Grace Ference
• Michael Ference III, M.D.
• Iudit M Ferenczi, M.D.
• Karen Fergason
• Brady Kyle Ferguson, DDS
• David Burton Ferguson, DDS
• Earl Edward Ferguson III, M.D.
• Erica Gabrielle Ferguson
• Jennifer Ferguson

• Perfusionist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Perfusionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.