Active NPI
Robert F Morrison, M.D.
- Urology Physician
- Meriden, CT
National Provider Identifier
1205919586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 012605
- Practice address
- 455 Lewis Ave
Ste 210
Meriden, CT 06451-2121 - Phone
- (203) 238-1241
- Fax
- (203) 686-0791
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 012605 | CT | Primary |
Addresses
Primary practice location
455 Lewis Ave
Ste 210
Meriden, CT 06451-2121
Mailing address
455 Lewis Ave
Suite 210
Meriden, CT 06451-2121
Phone (203) 238-1241
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06-1406459 | Other | CT | TRICARE |
| 2V8071 | Other | CT | HEALTH NET |
| 06-1406459 | Other | CT | UNITED HEALTHCARE |
| 06-1406459 | Other | CT | GREAT-WEST HEALTHCARE |
| P3856210 | Other | CT | OXFORD |
| 06-1406459 | Other | CT | COMMUNITY HEALTH NETWORK |
| 4112541 | Other | CT | AETNA |
| 0763840 | Other | CT | CIGNA |
| 06-1406459 | Other | CT | MULTIPLAN |
| 12605 | Other | CT | CONNECTICARE |
| 06-1406459 | Other | CT | PRIVATE HEALTHCARE SYSTEMS |
| 010012605CT07 | Other | CT | ANTHEM |
| 1205919586 | Medicaid | CT | |
| 06-1406459 | Other | CT | NORTHEAST HEALTH DIRECT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012605 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1205919586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 LEWIS AVE",
"address_2": "SUITE 210",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512121",
"telephone_number": "203-238-1241",
"fax_number": "203-686-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 LEWIS AVE",
"address_2": "STE 210",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512121",
"telephone_number": "203-238-1241",
"fax_number": "203-686-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "ROBERT",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "012605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V8071",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST HEALTHCARE",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3856210",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH NETWORK",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4112541",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0763840",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "12605",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEMS",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010012605CT07",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205919586",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "06-1406459",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.