Organization
OUTPATIENT RADIOLOGY CLINIC PA
Active
Organization
OUTPATIENT RADIOLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR SCOTT FERGUSON SR. MD (PHYSICIAN RADIOLOGIST)
(870) 735-5555
Entity
Organization
Contact information
Practice address
200 SOUTH ROHDES, STE B, WEST MEMPHIS, AR 72301
(870) 735-5555
(870) 735-5660
Mailing address
200 SOUTH ROHDES, STE B, WEST MEMPHIS, AR 72301
(870) 735-5555
(870) 735-5660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C6304
AR
2085R0202X
Diagnostic Radiology Physician
MD14662
TN
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up