NPIMap

Individual provider Active NPI

Gary Thomas Ferguson, M.D.

  • Pulmonary Disease Physician
  • Livonia, MI
National Provider Identifier
1922016385
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301066797 Issued in MI
Practice address
28815 8 Mile Rd
Suite 103
Livonia, MI 48152-2052
Phone
(248) 478-6806
Fax
(248) 478-6908
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301066797 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301066797 MI
Pulmonary Disease Physician 207RP1001X 4301066797 MI Primary

Addresses

Primary practice location

28815 8 Mile Rd
Suite 103
Livonia, MI 48152-2052

Mailing address

28815 8 Mile Rd
Suite 103
Livonia, MI 48152-2052
Phone (248) 478-6806

Other identifiers 1

IdentifierTypeStateIssuer
4375937-10MedicaidMI

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

Practice roles

OrganizationSpecialtyStatusNew patients
Botsford General Hospital Past Accepting new patients
Beaumont Medical Group- Specialty Services Past Accepting new patients
Canton Asthma & Allergy PC Past Accepting new patients
Pulmonary & Critical Care Specialists, P.C. Critical Care Medicine Past Accepting new patients

Organizations & group practices 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1922016385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28815 8 MILE RD",
            "address_2": "SUITE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522052",
            "telephone_number": "248-478-6806",
            "fax_number": "248-478-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28815 8 MILE RD",
            "address_2": "SUITE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522052",
            "telephone_number": "248-478-6806",
            "fax_number": "248-478-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "GARY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301066797",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301066797",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301066797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4375937-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.