James D. Morgan, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME18282 Issued in FL

Legal business name

JAMES D. MORGAN, MD, PA

Practice address

1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333

Phone

(863) 676-3411

Fax

(863) 676-1015

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tina Griffin

Title

Office Manager

Phone

(863) 676-3411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1124152095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534333",
            "telephone_number": "863-676-3411",
            "fax_number": "863-676-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. MORGAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "863-676-3411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME18282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.