Individual provider Active NPI

Steven A Ferzoco, M.D.

  • Diagnostic Radiology Physician
  • Sheffield, AL
National Provider Identifier
1952303208
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.23957 Issued in AL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009912081MedicaidAL
51531407OtherALBC HALEYVILLE
51531408OtherALBC RUSSELLVILLE
009912017MedicaidAL
009978905MedicaidAL
009986500MedicaidAL
C300OtherALMC GROUP
51543277OtherALBC EAST
51524639OtherALBC OBGYN
528202620MedicaidAL
009934437MedicaidAL
51543312OtherALBC SHOALS
51507878OtherALBC ECM
000055298OtherALMEDICARE PROVIDER NUMBER
009934438MedicaidAL

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00023957ALMDSpecialist
MD.23957ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC CurrentSince Jan 1, 2018 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.

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

Sources for this page

Verify at the official NPI Registry.