R Irvin Morgan MD PA Pathology Associates

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES

Practice address

4818 Wellington St Ste 4
Greenville, TX 75402-6010

Phone

(903) 455-4051

Fax

(903) 454-1716

NPI assigned

Mar 22, 2021

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Moushira Ebrahim, DR.NPI 1679532451

Title

President

Phone

(903) 455-4051

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• R Irvin Morgan MD PA Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, TX
  • NPI 1821057506

  0042288441

  Same PAC ID

Part of

R Irvinmorgan MD Dba PA

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moushira Anwar Ebrahim, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, TX
  • NPI 1679532451
  NPD Authorized official
• Asad Ahmad, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1902145782
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1174109979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 WELLINGTON ST STE 4",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026010",
            "telephone_number": "903-455-4051",
            "fax_number": "903-454-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 WELLINGTON ST STE 4",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026010",
            "telephone_number": "903-455-4051",
            "fax_number": "903-454-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-01-12",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "EBRAHIM",
        "authorized_official_first_name": "MOUSHIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-455-4051",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Adan Puga Jr., PT, DPT
• Purposefully Rooted Counseling and Consulting (Andrew McLane, LCSW)
• Quality Care ER-2 LLC
• Quality Care Physicians Greenville PLLC
• Ciara Quevedo
• R Irvin Morgan MD PA Pathology Associates
• Amr Raafat
• Zara Rabbani, MD
• Yvonne Raffini, LPC
• Hyaznarely Ramirez

• Clinical Medical Laboratory in Greenville, TX
• Providers in Greenville, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.