Provider Demographics
NPI:1447210547
Name:FERGUSON, RONALD W JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:W
Last Name:FERGUSON
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8981 NORWIN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2772
Mailing Address - Country:US
Mailing Address - Phone:724-863-0996
Mailing Address - Fax:724-863-8991
Practice Address - Street 1:8981 NORWIN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-2772
Practice Address - Country:US
Practice Address - Phone:724-863-0996
Practice Address - Fax:724-863-8991
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002846L213E00000X, 213ES0000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Not Answered213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Not Answered213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30013Medicare UPIN
PA185525Medicare ID - Type Unspecified