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

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.

Title

President

Phone

(417) 623-6330

Specialties & licenses 4

Addresses

Other identifiers 9

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410710A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2182",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHC HEALTH",
            "identifier": "00002307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "183098",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS",
            "identifier": "CN6673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN6673",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "F21460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "690077013",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700432206",
            "state": "MO"
        }
    ],
    "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.