MEDICARE: CATHERINE E FERGUSON DPM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DB8088	OTHER	OH	RR MEDICARE

General Provider Information

NPI Number	:	1740212729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE E FERGUSON DPM INC

Provider Business Mailing Address
First Line	:	PO BOX 74122
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-4122
Country	:	US
Telephone Number	:	216-261-7662
Fax Number	:	216-261-7992

Provider Business Practice Location Address
First Line	:	8984 DARROW RD
Second Line	:	STE 2
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2186
Country	:	US
Telephone Number	:	216-261-7662
Fax Number	:	216-261-7992

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CATHERINE E FERGUSON
Credential	:	D.P.M.
Telephone Number	:	216-261-7662

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	01/28/2008

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