Todd S Fergus in Green Bay - Cardiovascular Disease
Todd S Fergus - NPI 1083694111
Todd S Fergus is a Cardiovascular Disease in Green Bay, Wisconsin. Todd S Fergus practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Todd S Fergus is 1083694111. The last update date is 2023-03-07.
Todd S Fergus's current location address is 1727 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204968877 and fax number 9204963061. The mailing address for Todd S Fergus is 1727 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd S Fergus |
|---|---|
| Address | 1727 Shawano Ave, Green Bay, Wisconsin |
| Phone Number | 9204968877 |
| Fax Number | 9204963061 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083694111 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1727 Shawano Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543033273 |
| Phone Number | 9204968877 |
| Fax Number | 9204963061 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 47587-020 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00606706 | RAILROAD MEDICARE | ||
| 34684700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Todd S Fergus by the Centers for Medicare & Medicaid Services?
The Todd S Fergus has been issued the NPI (National Provider Identifier) 1083694111, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Todd S Fergus's facilities are geographically located?
The facilities of Todd S Fergus are physically situated at the following location: 1727 Shawano Ave, Green Bay, WI, 543033273.
What is the Todd S Fergus's area of specialization and corresponding taxonomy classification?
The Todd S Fergus's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1083694111 to Todd S Fergus?
The Todd S Fergus received its 1083694111 assignment from the Centers for Medicare & Medicaid Services on 2006-01-17.
As of what date were the details pertaining to Todd S Fergus last refreshed?
The information related to the Todd S Fergus, including its address, specialty, and other relevant details, was last updated on 2023-03-07.