Individual provider Active NPI

Ira A. Morris, M.D.

  • Family Medicine Physician
  • Wharton, WV
National Provider Identifier
1043400898
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18377 Issued in WV
Practice address
35767 Pond Fork Rd
Wharton, WV 25208-0089
Phone
(304) 247-6202
Fax
(304) 247-6203
NPI assigned
Jul 27, 2007
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18377 WV Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000219 WV Practitioner - Family PracticePractitioner - Internal Medicine 4486625803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Associates PLLCGroup PAC ID 9133538697, 3 clinicians

Practice addresses (Care Compare)

1828 Harper Rd
Beckley, WV 25801-3366
Phone (304) 253-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates PLLC CurrentSince May 1, 2021 Accepting new patients
Hygeia Facilities Foundation Inc Current Accepting new patients
Lincoln County Primary Care Center Inc Current Accepting new patients
Beckley Area Medical Clinic, Inc CurrentSince May 13, 2021 Accepting new patients
Medexpress Urgent Care PLLC-Morgantown Past Accepting new patients
Cross Lanes Family Practice, Inc. (Lab) Past Accepting new patients
Kanawha Medical Center Inc PastSince Oct 1, 2005 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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, WV

Sources for this page

Verify at the official NPI Registry.