Individual provider Active NPI

Jeffrey Selman Morris, MD

  • General Practice Physician
  • Hudson, OH
National Provider Identifier
1174625842
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35-059366 Issued in OH
Practice address
110 W Streetsboro St
Suite # 12
Hudson, OH 44236-2775
Phone
(330) 655-9555
Fax
(330) 656-1855
NPI assigned
Sep 2, 2006
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35-059366 OH
Orthopaedic Hand Surgery Physician 207XS0106X 35-059366 OH
General Practice Physician 208D00000X 35-059366 OH Primary

Addresses

Primary practice location

110 W Streetsboro St
Suite # 12
Hudson, OH 44236-2775

Mailing address

110 W Streetsboro St
Suite # 12
Hudson, OH 44236-2775
Phone (330) 655-9555

Other identifiers 1

IdentifierTypeStateIssuer
0813196MedicaidOH

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-059366OHMDOrthopaedic Hand Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1174625842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W STREETSBORO ST",
            "address_2": "SUITE # 12",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362775",
            "telephone_number": "330-655-9555",
            "fax_number": "330-656-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W STREETSBORO ST",
            "address_2": "SUITE # 12",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362775",
            "telephone_number": "330-655-9555",
            "fax_number": "330-656-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JEFFREY",
        "middle_name": "SELMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-059366",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35-059366",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35-059366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813196",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.