Ira A. Morris, M.D.
Individual provider Active NPI Family Medicine Physician · Wharton, WV
NPI 1043400898 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1043400898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18377 (WV)
- Practice address
- 35767 Pond Fork Rd
Wharton, WV 25208-0089 - Phone
- (304) 247-6202
- Fax
- (304) 247-6203
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Harvard Medical School, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Associates PLLC
Practice addresses (Care Compare)
1828 Harper Rd
Beckley, WV 25801-3366
Phone (304) 253-5690
Hospital & facility affiliations
- Charleston Area Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040802000219 | WV | Practitioner - Family Practice |
4486625803 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18377 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beckley Area Medical Clinic, Inc | Current |
Accepting new patients | |
| Lincoln County Primary Care Center Inc | Current | Accepting new patients | |
| Hygeia Facilities Foundation Inc | Current | Accepting new patients | |
| Physician Associates PLLC | Current |
Accepting new patients | |
| Kanawha Medical Center Inc | Past |
Accepting new patients | |
| Cross Lanes Family Practice, Inc. (Lab) | Past | Accepting new patients | |
| Medexpress Urgent Care PLLC-Morgantown | Past | Accepting new patients |
Locations
1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004
1828 Harper Rd
Ste A
Beckley, WV 25801
37456 Coal River Rd
Whitesville, WV 25209
Phone (304) 854-1321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18377 | WV | Yes |
Addresses
Primary practice location
35767 Pond Fork Rd
Wharton, WV 25208-0089
Mailing address
37456 Coal River Rd
Whitesville, WV 25209-0217
Phone (304) 854-1323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WV18377 | Other | WV | STATE LICENSE NUMBER |
| 0046826000 | Medicaid | WV |
NPI Registry JSON
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1043400898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37456 COAL RIVER RD",
"city": "WHITESVILLE",
"state": "WV",
"postal_code": "252090217",
"telephone_number": "304-854-1323",
"fax_number": "304-854-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35767 POND FORK RD",
"city": "WHARTON",
"state": "WV",
"postal_code": "252080089",
"telephone_number": "304-247-6202",
"fax_number": "304-247-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "IRA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "18377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "WV18377",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046826000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wharton, WV
- Tina Louise Cook
- Christy Ann Holstein
- Hygeia Facilities Foundation Inc
- Eli Jacobs
- Lincoln County Primary Care Center Inc
- Shauni Paulson
- Susan Marie Pridemore
All providers in Wharton, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.