Organization Active NPI

Louis T Morrison MD PA

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1114180809
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME60703 Issued in FL
Legal business name
LOUIS T MORRISON MD PA
Practice address
910 S State Road 7
Plantation, FL 33317-2813
Phone
(954) 583-0122
Fax
(954) 583-9285
NPI assigned
Jul 3, 2008
Organization subpart
Yes
Parent organization
LOUIS T MORRISONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Louis T T Morrison, MD PA
Title
Owner
Phone
(954) 581-0122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME60703 FL Primary

Addresses

Primary practice location

910 S State Road 7
Plantation, FL 33317-2813

Mailing address

910 S State Road 7
Plantation, FL 33317-4523
Phone (954) 583-0122

Other identifiers 1

IdentifierTypeStateIssuer
371447100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000081 FL Part B Supplier - Clinic/Group Practice 9436223831 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory
Part of
Louis T Morrison MD PA

Locations

910 SW 40th Ave
Plantation, FL 33317
Phone (954) 583-0122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1114180809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174523",
            "telephone_number": "954-583-0122",
            "fax_number": "954-583-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172813",
            "telephone_number": "954-583-0122",
            "fax_number": "954-583-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS T MORRISON MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUIS T MORRISON",
        "enumeration_date": "2008-07-03",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "LOUIS T",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-581-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME60703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371447100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.