Active NPI
Richard Adam Ferguson, PA-C
- Physician Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2440 E 81St St
Tulsa, OK 74137-4200 - Phone
- (918) 477-5190
- NPI assigned
- Aug 9, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2440 E 81St St
Tulsa, OK 74137-4200
Mailing address
1260 5TH St NE Apt 106
Hickory, NC 28601-2681
Phone (214) 735-4125
Other practice location 1
1130 E Lansing St
Broken Arrow, OK 74012-2429
Phone (918) 258-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 W Lyndon B Johnson Fwy
Irving, TX 75063-3700
4001 Worth St
Dallas, TX 75246-1608
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3043 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
Interoperability endpoints
- rferguson935886@direct.sw.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Irving
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
dba Baylor Scott & White Medical Center - Irving
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1942789086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 5TH ST NE APT 106",
"city": "HICKORY",
"state": "NC",
"postal_code": "286012681",
"telephone_number": "214-735-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 E 81ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741374200",
"telephone_number": "918-477-5190"
}
],
"practiceLocations": [
{
"address_1": "1130 E Lansing St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740122429",
"country_code": "US",
"telephone_number": "918-258-9990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "RICHARD",
"middle_name": "ADAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-09",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.