NPIMap

Individual provider Active NPI

Mary Helen Morrow, M.D.

  • Family Medicine Physician
  • Madisonville, TX
National Provider Identifier
1114988094
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3348 Issued in TX
Practice address
604 S Madison St
Madisonville, TX 77864-1956
Phone
(936) 348-2284
Fax
(936) 348-2294
NPI assigned
Mar 30, 2006
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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 K3348 TX Primary

Addresses

Primary practice location

604 S Madison St
Madisonville, TX 77864-1956

Mailing address

604 S Madison St
Madisonville, TX 77864-1956
Phone (936) 348-2284

Other identifiers 6

IdentifierTypeStateIssuer
1297277-15OtherTXCSHCN
129727711MedicaidTX
8P0381OtherTXBLUE SHIELD
8K9434OtherTXBC/BS
P00220296OtherTXRR/MEDICARE
1297277-14MedicaidTX

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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center Family Medicine Past Accepting new patients
Mobile Docs PLLC Family Medicine PastSince Oct 1, 2006 Accepting new patients
Bryan Emergency Physicians PA Past Accepting new patients
Family Practice Foundation of the Brazos Valley Family Medicine Past Accepting new patients
St Joseph Physician Associates Family Medicine Past Accepting new patients
Brazos Valley Community Action Agency Inc Past Accepting new patients
Morning Star Family Medicine PLLC Past Accepting new patients
Brazos Valley Emergency Physicians PA Past Accepting new patients

Organizations & group practices 8

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1114988094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MADISON ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778641956",
            "telephone_number": "936-348-2284",
            "fax_number": "936-348-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MADISON ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778641956",
            "telephone_number": "936-348-2284",
            "fax_number": "936-348-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "MARY HELEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1297277-15",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129727711",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8P0381",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8K9434",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "P00220296",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1297277-14",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TX

Sources for this page

Verify at the official NPI Registry.