1467419689 NPI number — DR. SCOTT DAVID MORGAN MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467419689 NPI number — DR. SCOTT DAVID MORGAN MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

MORGAN

Provider First Name:

SCOTT

Provider Middle Name:

DAVID

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1467419689

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/15/2010

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

699 E STATE ST

Provider Second Line Business Mailing Address:

SHARON REGIONAL HEALTH SYSTEM

Provider Business Mailing Address City Name:

SHARON

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

16146-2057

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

724-983-3817

Provider Business Mailing Address Fax Number:

724-983-3941

Provider First Line Business Practice Location Address:

551 GREENVILLE RD

Provider Second Line Business Practice Location Address:

SRHS MERCER FAMILY MEDICINE CTR

Provider Business Practice Location Address City Name:

MERCER

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

16137-5019

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

724-662-4155

Provider Business Practice Location Address Fax Number:

724-662-2352

Provider Enumeration Date:

05/01/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  MD056727L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 000000205853 . This is a "ANTHEM BC & BS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 0015714610006 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 0015714610005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 2296840 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
• Identifier: 9801922000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
• Identifier: 000000064446 . This is a "UNISON/MEDPLUS/3 RIVERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 80145725 . This is a "RR MEDICARE GR#CI5033" identifier . This identifiers is of the category "OTHER".
• Identifier: 1041822 . This is a "GATEWAY--GROUP #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 5766199 . This is a "AETNA PPO GR. 7607539" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 231928 . This is a "HEALTH AMERICA/HEALTH ASSURANCE - GRP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 3340402 . This is a "AETNA HMO GR. 3398287" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 729459 . This is a "HIGHMARK--GRP #855908" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".