CHOKI TAM-FERGUSON DO
NPI 1619565215
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Choki Tam-ferguson's NPI number?

The NPI number for Choki Tam-ferguson is 1619565215. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Q: What is Choki Tam-ferguson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since January 08, 2021PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Jan 8, 2021 (2 updates tracked since 2021).

On this page

About Choki Tam-ferguson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHOKI TAM-FERGUSON DO (NPI 1619565215) is an individual student in an organized health care education/training program in Jackson, Michigan, licensed in Michigan (5151016705) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619565215

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCHOKI TAM-FERGUSONCredential: DO

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753

Phone(517) 205-4800

Sole ProprietorNo

Enumeration DateJanuary 8, 2021

Last NPPES UpdateMay 16, 20242 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1619565215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5151016705

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Choki Tam-ferguson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant