Active NPI
Earl Edward Ferguson III, M.D.
- Plastic Surgery Physician
- San Antonio, TX
National Provider Identifier
1851371827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- J9495
- Practice address
- 18540 Sigma Rd
San Antonio, TX 78258-4274 - Phone
- (210) 490-4661
- Fax
- (210) 490-4795
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | J9495 | TX | Primary |
Addresses
Primary practice location
18540 Sigma Rd
San Antonio, TX 78258-4274
Mailing address
7832 Pat Booker Road
San Antonio, TX 78233
Phone (210) 657-9338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9495 | TX | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology PA | Current | Accepting new patients |
Locations
7832 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 657-9338
15900 La Cantera Pkwy
Ste 20270
San Antonio, TX 78256
Phone (210) 641-9500
18540 Sigma Rd
San Antonio, TX 78258
Phone (210) 490-4661
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.
-
- Dermatology Physician
- Waco, TX
- NPI 1043615263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1851371827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7832 PAT BOOKER ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78233",
"telephone_number": "210-657-9338",
"fax_number": "210-293-1843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18540 SIGMA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584274",
"telephone_number": "210-490-4661",
"fax_number": "210-490-4795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "EARL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "J9495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.