Active NPI
Elaine Winifred Morris, M.D.
- Gynecology Physician
- Fresno, CA
National Provider Identifier
1053758607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G36105
- Practice address
- 1752 W Calimyrna Ave Apt B
Fresno, CA 93711-1871 - Phone
- (559) 451-0721
- NPI assigned
- May 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G36105 | CA | Primary |
Addresses
Primary practice location
1752 W Calimyrna Ave Apt B
Fresno, CA 93711-1871
Mailing address
1752 W Calimyrna Ave Apt B
Fresno, CA 93711-1871
Phone (559) 451-0721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36105 | CA | MD | General Practice Dentistry |
| G36105 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1053758607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1752 W CALIMYRNA AVE APT B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937111871",
"telephone_number": "559-451-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 W CALIMYRNA AVE APT B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937111871",
"telephone_number": "559-451-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "ELAINE",
"middle_name": "WINIFRED",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G36105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.