Active NPI
John W. Morrison, Jr., M.D.
- Ophthalmology Physician
- Taos, NM
National Provider Identifier
1235172412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 92-264
- Practice address
- 1399 Weimer Rd
Suite 300
Taos, NM 87571-6340 - Phone
- (505) 758-0621
- Fax
- (505) 758-0622
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 92-264 | NM | Primary |
Addresses
Primary practice location
1399 Weimer Rd
Suite 300
Taos, NM 87571-6340
Mailing address
8801 Horizon Blvd NE
Suite 360
Albuquerque, NM 87113-1533
Phone (505) 246-2622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00277659 | Other | NM | RRB MEDICARE RAILROAD |
| 22962 | Medicaid | NM | |
| NM011967 | Other | NM | BC BS OF NM |
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 |
|---|---|---|---|
| 92-264 | NM | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1235172412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 HORIZON BLVD NE",
"address_2": "SUITE 360",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131533",
"telephone_number": "505-246-2622",
"fax_number": "505-213-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 WEIMER RD",
"address_2": "SUITE 300",
"city": "TAOS",
"state": "NM",
"postal_code": "875716340",
"telephone_number": "505-758-0621",
"fax_number": "505-758-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON, JR.",
"first_name": "JOHN",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NM",
"license": "92-264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB MEDICARE RAILROAD",
"identifier": "P00277659",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22962",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF NM",
"identifier": "NM011967",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.