Individual provider Active NPI

David Morgan, PA-C

  • Physician Assistant
  • Kanosh, UT
National Provider Identifier
1043781719
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8598346-1206 Issued in UT
Practice address
157 N Reservation Dr
Kanosh, UT 84637-8463
Phone
(435) 759-2610
NPI assigned
Dec 6, 2018
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8598346-1206 UT Primary

Addresses

Primary practice location

157 N Reservation Dr
Kanosh, UT 84637-8463

Mailing address

944 Sequoia Ruby CT
Henderson, NV 89052-8656
Phone (801) 472-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218000278 TX Practitioner - Physician Assistant 5294073250 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paiute Indian Tribe of Utah Current Accepting new patients
Paiute Indian Tribe of Utah Current Accepting new patients
Paiute Indian Tribe of Utah Current Accepting new patients

Locations

376 N Paiute Dr
Cedar City, UT 84721
Phone (435) 867-1520

440 N Paiute Dr
Cedar City, UT 84721
Phone (435) 867-1520

6109 W 3700 N
Ivins, UT 84738
Phone (435) 688-8198

440 S Main St
Richfield, UT 84701
Phone (435) 893-6800

1449 N 1400 W
Ste 19
St George, UT 84770
Phone (435) 688-0759

Interoperability endpoints

  • Direct secure messaging: david.morgan.1@14860.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1043781719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 SEQUOIA RUBY CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528656",
            "telephone_number": "801-472-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N RESERVATION DR",
            "city": "KANOSH",
            "state": "UT",
            "postal_code": "846378463",
            "telephone_number": "435-759-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8598346-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kanosh, UT

Sources for this page

Verify at the official NPI Registry.