Provider Demographics
NPI:1740212729
Name:CATHERINE E FERGUSON DPM INC
Entity Type:Organization
Organization Name:CATHERINE E FERGUSON DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:216-261-7662
Mailing Address - Street 1:PO BOX 74122
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-4122
Mailing Address - Country:US
Mailing Address - Phone:216-261-7662
Mailing Address - Fax:216-261-7992
Practice Address - Street 1:8984 DARROW RD
Practice Address - Street 2:STE 2
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2186
Practice Address - Country:US
Practice Address - Phone:216-261-7662
Practice Address - Fax:216-261-7992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDB8088OtherRR MEDICARE
OH9361481Medicare PIN
OHDB8088OtherRR MEDICARE