1821010034 NPI number — DR. JAMES R MORRIS MD

Table of content: DR. JAMES R MORRIS MD (NPI 1821010034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821010034 NPI number — DR. JAMES R MORRIS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRIS
Provider First Name:
JAMES
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
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:
1821010034
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 955
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARIETTA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45750-0955
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-332-3834
Provider Business Mailing Address Fax Number:
216-595-5381

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 SAINT CHRISTOPHER DR
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101-7034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-833-3634
Provider Business Practice Location Address Fax Number:
606-836-9914
Provider Enumeration Date:
07/24/2006

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: 207ZP0102X , with the licence number:  22225 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0593997 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000355047 . This is a "ANTHEM BLUE CROSS BS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 0104499000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50006257 . This is a "PASSPORT MEDICAID" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 608673400 . This is a "BLACK LUNG PROGRAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 64068729 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 608673400 . This is a "US DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00196192 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




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