Dr Ian Glen Ferguson, DO | |
300 Pasteur Dr, Stanford, CA 94305-2200 | |
(650) 723-4000 | |
Not Available |
Full Name | Dr Ian Glen Ferguson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 300 Pasteur Dr, Stanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265495345 | NPI | - | NPPES |
00AX68900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A6890 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian Glen Ferguson, DO 1804 Embarcadero Rd, Ste 100, Palo Alto, CA 94303-3341 Ph: () - | Dr Ian Glen Ferguson, DO 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Enoch Akuffo Obeng, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Pierre-carole Tchamgoue Tchouapi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Timothy John Batchelor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Swaminatha V Mahadevan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Kelly Nicole Roszczynialski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Graham Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Mc: 5500, Stanford, CA 94305 Phone: 650-723-4000 | |
Shawn Keiji Kaku, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |