Individual
DR. LEONARD FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6301 UNIVERSITY COMMONS, SUITE 310, SOUTH BEND, IN 46635-1571
(574) 232-1471
(574) 239-8511
Mailing address
6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
(574) 251-2100
(574) 251-2151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01035833A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01035833A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100336090A
—
IN
01
—
735850C
MEDICARE RR
IN
Enumeration date
06/05/2006
Last updated
09/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us