| Dr Tiffany R Ferguson, DO | |
|
1600 W University Blvd, Durant, OK 74701-3045 | |
| (580) 924-5500 | |
| (580) 924-1991 |
| Full Name | Dr Tiffany R Ferguson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1600 W University Blvd, Durant, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619124989 | NPI | - | NPPES |
| 37105 | Other | OK | OBNDD |
| 402616 | Other | OK | PTAN |
| 4677 | Other | OK | STATE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4677 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | 4677 (Oklahoma) | Primary |
| Entity Name | Nes Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516 |
| Entity Name | Durant Family Medicine Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596421 PECOS PAC ID: 4082624242 Enrollment ID: O20060502000737 |
| Entity Name | Durant Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043361116 PECOS PAC ID: 3375638976 Enrollment ID: O20070927000304 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Oklahoma Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891039764 PECOS PAC ID: 0345493649 Enrollment ID: O20130118000115 |
| Entity Name | Emergency Physicians Of Mid-america Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
| Entity Name | Elite Integral Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609648062 PECOS PAC ID: 0648612341 Enrollment ID: O20240528000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tiffany R Ferguson, DO 1600 W University Blvd, Durant, OK 74701-3045 Ph: (580) 924-5500 | Dr Tiffany R Ferguson, DO 1600 W University Blvd, Durant, OK 74701-3045 Ph: (580) 924-5500 |
Robin Lynn Hoile, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 | |
Dr. Ryan Richard Ludlow, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 | |
Jeffrey Alan Gastorf, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1004 N 19th Ave, Bldg 2, Durant, OK 74701 Phone: 580-931-9135 Fax: 580-931-9161 | |
Dr. James Nelson Mckeehen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 | |
Danielle Coffey, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 Fax: 580-924-1991 |