Individual
DR. CASEY ELIZABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27372
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD27372
OR
208M00000X
Hospitalist Physician
MD27372
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243094
—
OR
05
—
92075355
—
NM
01
—
P00464817
RAILROAD MEDICARE - PROVIDENCE
OR
Enumeration date
03/20/2007
Last updated
05/18/2023
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