Individual
MARTHA A FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2123 AUBURN AVE., CINCINNATI, OH 45219
(513) 475-8787
(513) 929-4369
Mailing address
3200 BURNET AVE, 3 SOUTH, CREDENTIALING, CINCINNATI, OH 45229-3019
(513) 475-8787
(513) 929-4369
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
050579
GA
208C00000X
Colon & Rectal Surgery Physician
Primary
35.068079
OH
208C00000X
Colon & Rectal Surgery Physician
35068079
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928848A
—
GA
01
—
1288
KAISER
—
01
—
1400016
UNITED HEALTHCARE
—
05
—
200960570
—
IN
05
—
2125926
—
OH
01
—
2668428
AETNA HMO
—
01
—
5106771
AETNA NON HMO
—
01
—
52821623
BCBS
—
05
—
7100083470
—
KY
01
—
7494880
CIGNA HMO
—
Enumeration date
05/04/2006
Last updated
07/09/2014
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