Organization Active NPI

Morgan Oxford, LLC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1225360126
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050054267 Issued in PA
Legal business name
MORGAN OXFORD, LLC
Practice address
1501 North Broad Street
Philadelphia, PA 19122-3319
Phone
(215) 288-0707
Fax
(215) 288-9360
NPI assigned
Feb 3, 2010
Organization subpart
Yes
Parent organization
MORGAN OXFORD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Mr. Philip Howard Cross, DO
Title
Owner
Phone
(215) 288-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 050054267 PA Primary

Addresses

Primary practice location

1501 North Broad Street
Philadelphia, PA 19122-3319

Mailing address

5363 Oxford Avenue
Philadelphia, PA 19124-1123
Phone (215) 288-0707

Other identifiers 1

IdentifierTypeStateIssuer
0010250400001MedicaidPA

National Provider Directory

National Provider Directory
Part of
Morgan Oxford LLC

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1225360126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 OXFORD AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241123",
            "telephone_number": "215-288-0707",
            "fax_number": "215-288-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NORTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223319",
            "telephone_number": "215-288-0707",
            "fax_number": "215-288-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN OXFORD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORGAN OXFORD, LLC",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-288-0707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "050054267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010250400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.