GAVIN FERGUSON PA-C NPI 1265943252

NPI Information

NPI: 1265943252
Provider Name: GAVIN FERGUSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOUTHWEST BEHAVIORAL HEALTH SERVICES INC

PECOS Registration: Yes

Address:
1515 E CEDAR AVE STE 2B3B4E12
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 714-0010
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Gavin Ferguson, PA-C is a medical physician assistant in Flagstaff, AZ with 7 years of experience. Gavin Ferguson, PA-C NPI is 1265943252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1515 E CEDAR AVE STE 2B3B4E12
FLAGSTAFF, AZ
ZIP 86004-600
Phone: (928) 714-0010

The NPI 1265943252 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 10/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	6948	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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