Individual provider Active NPI

Anthony Hugh Morgan, DPM

  • Podiatrist
  • Colchester, CT
National Provider Identifier
1073593307
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000718 Issued in CT
Practice address
7 Park Ave
Colchester, CT 06415-1128
Phone
(860) 537-5520
Fax
(860) 537-5590
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000718 CT Primary

Addresses

Primary practice location

7 Park Ave
Colchester, CT 06415-1128

Mailing address

7 Park Ave
Colchester, CT 06415-1128
Phone (860) 537-5520

Other identifiers 1

IdentifierTypeStateIssuer
004204616MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000054 CT Practitioner - Podiatry 7911010780 Practice locations: Colchester, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000718CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1073593307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARK AVE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151128",
            "telephone_number": "860-537-5520",
            "fax_number": "860-537-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PARK AVE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151128",
            "telephone_number": "860-537-5520",
            "fax_number": "860-537-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ANTHONY",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004204616",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, CT

Sources for this page

Verify at the official NPI Registry.