Ferguson Medical Laboratories Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

FERGUSON MEDICAL LABORATORIES INC

Practice address

1801 W 32ND St BLDG B
Suite 101
Joplin, MO 64804-1528

Phone

(417) 623-6330

Fax

(417) 623-3950

NPI assigned

Dec 6, 2005

Last updated

Jan 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael P Hurly, M.D.NPI 1417931023

Title

President

Phone

(417) 623-6330

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Harland Irlam, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Joplin, MO
  • NPI 1104098664
  Medicare reassignment Care Compare group
• Michael J Kane, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Joplin, MO
  • NPI 1447235692
  Medicare reassignment Care Compare group
• Craig P Patterson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Joplin, MO
  • NPI 1396729901
  Medicare reassignment Care Compare group
• Michael P Hurly, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Joplin, MO
  • NPI 1417931023
  Authorized official Same address or phone
• Michael Thompson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lawrence, KS
  • NPI 1457322232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1992789507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "address_2": "FML-CREDENTIALING",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-442-2406",
            "fax_number": "614-442-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 32ND ST BLDG B",
            "address_2": "SUITE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041528",
            "telephone_number": "417-623-6330",
            "fax_number": "417-623-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON MEDICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "HURLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-623-6330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D0666300",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D0445616",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D0445668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Nicole Felt
• Angela Jean Fenske, LCSW
• Jolene Fenske, O.D.
• Justin Fensky
• Tori L Fenton
• Jill Ferguson, COTA
• Matt Ferguson
• Emmanuel Fernandez, RPT
• Brian Fidler, P.L.P.C.
• Kristen L Fidler

• Anatomic Pathology & Clinical Pathology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.