NPI Code Detail JSON Logo

1831373414 NPI number — DONALD FERGUSON JR. PHD

NPI Number: 1831373414
Health Care Provider/Practitioner: DONALD FERGUSON JR. PHD

Information about “1831373414” NPI (DONALD FERGUSON JR. PHD) exists in 1831373414 in HTML format HTML  |  1831373414 in plain Text format TXT  |  1831373414 in PDF (Portable Document Format) PDF  |  1831373414 in an XML format XML  formats.

NPI Number : 1831373414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831373414",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERGUSON",
    "FirstName": "DONALD",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 699",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNTAIN HOME",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37684-0699",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-433-6039",
    "MailingAddressFaxNumber": "423-433-6060",
    "FirstLinePracticeLocationAddress": "325 N STATE OF FRANKLIN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOHNSON CITY",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37604-6062",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-439-6242",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2007",
    "LastUpdateDate": "12/19/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "247ZC0005X",
        "TaxonomyName": "Clinical Laboratory Director (Non-physician)",
        "LicenseNumber": "ML7576",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.