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NPI Code Detail

MEDICARE: CATHERINE E FERGUSON DPM INC

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
1213ES0103XFoot & Ankle Surgery Podiatrist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DB8088OTHEROHRR MEDICARE

General Provider Information

NPI Number : 1760414742
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 : 2999 MCMACKIN RD
Second Line :
City : MADISON
State : OH
Zip : 44057-2330
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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