Individual provider Active NPI

Earl Edward Ferguson III, M.D.

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1851371827
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
J9495 Issued in TX
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

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
J9495TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA CurrentSince Oct 1, 2025 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.

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.

Verify at the official NPI Registry.