Active NPI
Steven A Ferzoco, M.D.
- Diagnostic Radiology Physician
- Sheffield, AL
National Provider Identifier
1952303208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD.23957
- Practice address
- 1111 S Raleigh Ave
Ste 100a
Sheffield, AL 35660-6350 - Phone
- (662) 620-7102
- Fax
- (662) 620-7106
- NPI assigned
- Jun 1, 2005
- Last updated
- Feb 7, 2019
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 00023957 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | MD.23957 | AL | Primary |
Addresses
Primary practice location
1111 S Raleigh Ave
Ste 100a
Sheffield, AL 35660-6350
Mailing address
PO Box 678063
Dallas, TX 75267-8063
Phone (662) 620-7102
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009912081 | Medicaid | AL | |
| 51531407 | Other | AL | BC HALEYVILLE |
| 51531408 | Other | AL | BC RUSSELLVILLE |
| 009912017 | Medicaid | AL | |
| 009978905 | Medicaid | AL | |
| 009986500 | Medicaid | AL | |
| C300 | Other | AL | MC GROUP |
| 51543277 | Other | AL | BC EAST |
| 51524639 | Other | AL | BC OBGYN |
| 528202620 | Medicaid | AL | |
| 009934437 | Medicaid | AL | |
| 51543312 | Other | AL | BC SHOALS |
| 51507878 | Other | AL | BC ECM |
| 000055298 | Other | AL | MEDICARE PROVIDER NUMBER |
| 009934438 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00023957 | AL | MD | Specialist |
| MD.23957 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoals Primary Care, LLC | Current | Accepting new patients | |
| Radiology Doctors, PA | Diagnostic Radiology | Past | Accepting new patients |
| Valley Radiological Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Sheffield, AL
- NPI 1326373861
-
- Diagnostic Radiology Physician
- Sheffield, AL
- NPI 1639220403
-
- Diagnostic Radiology Physician
- Brooksville, FL
- NPI 1639123631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1952303208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678063",
"city": "DALLAS",
"state": "TX",
"postal_code": "752678063",
"telephone_number": "662-620-7102",
"fax_number": "662-620-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S RALEIGH AVE",
"address_2": "STE 100A",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356606350",
"telephone_number": "662-620-7102",
"fax_number": "662-620-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERZOCO",
"first_name": "STEVEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "00023957",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "MD.23957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009912081",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC HALEYVILLE",
"identifier": "51531407",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC RUSSELLVILLE",
"identifier": "51531408",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009912017",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009978905",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009986500",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC GROUP",
"identifier": "C300",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC EAST",
"identifier": "51543277",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OBGYN",
"identifier": "51524639",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528202620",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009934437",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC SHOALS",
"identifier": "51543312",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC ECM",
"identifier": "51507878",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "000055298",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009934438",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield, AL
- Kendra Nichole Evans, FNP
- Eyecare South LLC - Shoals (Eyecare South - Shoals)
- Ez Care, LLC
- F.C. Gapultos, Jr., M.D. (women's clinic shoals)
- Faith Based Psychological Associates, Inc
- Franklin Health LLC (Holland Pharmacy of Sheffield)
- Joseph Heath Franks, CRNP
- Russell McNeil Fraser, DMD
- Jeffrey W Frazee, RPH
- Jonathan Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.