Provider Demographics
NPI:1104823434
Name:FERGUSON, JOE RICE III (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:RICE
Last Name:FERGUSON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:601 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2332
Practice Address - Country:US
Practice Address - Phone:717-765-5060
Practice Address - Fax:717-765-5066
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418761207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherMULTIPLAN/PHCS
PA50078951OtherCAPITAL BLUECROSS
PAMD418761OtherLICENSE
PA120420414OtherDEPT OF LABOR
PA25-1716306OtherINFORMED
PA867633OtherMEDICARE GROUP #
PA1525332OtherHIGHMARK BLUE SHIELD
PA7694509OtherAETNA NON-HMO
PA2179950OtherMAMSI
PA25-1716306OtherDEVON
PAP00708433OtherRAILROAD MEDICARE
PA25-1716306OtherFIRST HEALTH
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherINTERGROUP
PA3369154OtherAETNA HMO
PA001972175 0004Medicaid
PA1104823434OtherHEALTH AMERICA
PA25-1716306OtherGREATWEST
PA25-1716306OtherGREATWEST
E36224Medicare UPIN
PA2179950OtherMAMSI