Healthcare Provider Details

I. General information

NPI: 1447210547
Provider Name (Legal Business Name): RONALD W FERGUSON JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8981 NORWIN AVE SUITE 201
NORTH HUNTINGDON PA
15642-2772
US

IV. Provider business mailing address

8981 NORWIN AVE SUITE 201
NORTH HUNTINGDON PA
15642-2772
US

V. Phone/Fax

Practice location:
  • Phone: 724-863-0996
  • Fax: 724-863-8991
Mailing address:
  • Phone: 724-863-0996
  • Fax: 724-863-8991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC002846L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberSC002846L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberSC002846L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: