1972516870 NPI number — MURRAY A MORRISON MD

Table of content: MURRAY A MORRISON MD (NPI 1972516870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972516870 NPI number — MURRAY A MORRISON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRISON
Provider First Name:
MURRAY
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

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 Information

NPI Number:
1972516870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 KINGS HIGHWAY CUTOFF
Provider Second Line Business Mailing Address:
ORTHOPAEDIC SPECIALTY GROUP
Provider Business Mailing Address City Name:
FAIRFIELD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06824-5340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-337-1900
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
75 KINGS HIGHWAY CUTOFF
Provider Second Line Business Practice Location Address:
ORTHOPAEDIC SPECIALTY GROUP
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06824-5340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-337-2600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  014429 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 843551 (2) (3) . This is a "EMPIRE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001144294 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: TIN . This is a "NORTHEAST HEALTH DIRECT" identifier . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000519 . This is a "HEALTH NET" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "FIRST HEALTH/CCN" identifier . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "CORVEL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010014429CT01 . This is a "ANTHEM BC/BS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "PIONEER" identifier . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "ORTHONET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0085205 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "GREAT WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 514429 . This is a "CONNECTICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "NEHCA HMC/PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "POMCO" identifier . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "NATIONALPROVIDER NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZS307 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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