Organization Active NPI

Edward J. Morgan, M.D., Inc.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1134330830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
551 Issued in HI
Legal business name
EDWARD J. MORGAN, M.D., INC.
Practice address
2046 Mott-Smith Dr
Honolulu, HI 96822-2510
Phone
(808) 536-7980
Fax
(808) 536-7980
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward Joseph Morgan III, M.D.
Title
President
Phone
(808) 536-7980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 551 HI Primary

Addresses

Primary practice location

2046 Mott-Smith Dr
Honolulu, HI 96822-2510

Mailing address

PO Box 61730
Honolulu, HI 96839-1730
Phone (808) 536-7980

Other identifiers 2

IdentifierTypeStateIssuer
04233801MedicaidHI
46763OtherHIHMSA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134330830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61730",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968391730",
            "telephone_number": "808-536-7980",
            "fax_number": "808-536-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 MOTT-SMITH DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222510",
            "telephone_number": "808-536-7980",
            "fax_number": "808-536-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. MORGAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-536-7980",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04233801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "46763",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.