Active NPI
Lee C Ferguson, D.O.
- Vascular Surgery Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- DO.1236
- Practice address
- 1151 Dauphin St
Mobile, AL 36604-2547 - Phone
- (251) 445-0075
- Fax
- (251) 445-0072
- NPI assigned
- Jun 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 23226 | MS | |
| Vascular Surgery Physician | 2086S0129X | DO.1236 | AL | Primary |
Addresses
Primary practice location
1151 Dauphin St
Mobile, AL 36604-2547
Mailing address
1151 Dauphin St
Mobile, AL 36604-2547
Phone (251) 445-0075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185176 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1551 Old Shell Rd
Mobile, AL 36604-1354
Phone (251) 410-8272
919 Winter St
Lucedale, MS 39452-5767
Phone (251) 410-8272
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 42 |
| Leg revascularization (restoring blood flow) | 91 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1236 | AL | MD | Vascular Surgery Physician |
| 23226 | MS | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Associates of South Alabama, LLC | Vascular Surgery | Current | Accepting new patients |
| George County Hospital | Current | Accepting new patients | |
| Urology Associates of Mobile, P.a. | Past | Accepting new patients |
Locations
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272
919 Winter St
Lucedale, MS 39452
Phone (251) 410-8272
Interoperability endpoints
- lee.ferguson@vascentmob.direct.medconnect-inc.com
- lferguson26264@direct.acumenmd.com
- leeferguson@grh.medalliesdirect.net
Organizations & group practices 3
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.
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
-
- Urology Physician
- Mobile, AL
- NPI 1194828368
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
-
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1932368834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042547",
"telephone_number": "251-445-0075",
"fax_number": "251-445-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042547",
"telephone_number": "251-445-0075",
"fax_number": "251-445-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "LEE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MS",
"license": "23226",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "DO.1236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185176",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.