Individual provider Active NPI

Targhee James Morris, M.D.

  • Urology Physician
  • Spanish Fork, UT
National Provider Identifier
1154648640
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
8535063-8905 Issued in UT
Practice address
336 W 100 S
Spanish Fork, UT 84660-5881
Phone
(801) 609-4476
Fax
(801) 734-3964
NPI assigned
Apr 23, 2010
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 46511 KY
Urology Physician 208800000X 8535063-8905 UT Primary
Urology Physician 208800000X 46511 KY

Addresses

Primary practice location

336 W 100 S
Spanish Fork, UT 84660-5881

Mailing address

415 N Main St
Spanish Fork, UT 84660-1439
Phone (801) 609-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922000254 UT Practitioner - Urology 5799092805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Sanford School of Medicine of University of South Dakota, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 N Main St
Spanish Fork, UT 84660-1439
Phone (801) 609-4476

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46511KYMDUrology Physician
8535063-8905UTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex Primary Care LLC Current Accepting new patients
Utah Urology LLC Urology CurrentSince Sep 8, 2015 Accepting new patients
Vertex Primary Care Nevada LLC Current Accepting new patients

Locations

336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246

415 N Main St
Spanish Fork, UT 84660
Phone (801) 798-9700

Organizations & group practices 4

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1154648640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601439",
            "telephone_number": "801-609-4476",
            "fax_number": "801-609-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W 100 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605881",
            "telephone_number": "801-609-4476",
            "fax_number": "801-734-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TARGHEE",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "46511",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "8535063-8905",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "46511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.