Individual provider Active NPI

Glenn L. Morgan, M.D.

  • Gynecology Physician
  • Houston, TX
National Provider Identifier
1235240870
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
J0606 Issued in TX
Practice address
17070 Red Oak Dr
Suite 301
Houston, TX 77090-2619
Phone
(281) 444-0865
Fax
(281) 444-6037
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X J0606 TX Primary
Gynecology Physician 207VG0400X 019589 LA

Addresses

Primary practice location

17070 Red Oak Dr
Suite 301
Houston, TX 77090-2619

Mailing address

17070 Red Oak Dr
Suite 301
Houston, TX 77090-2619
Phone (281) 444-0865

Other identifiers 6

IdentifierTypeStateIssuer
10018165MedicaidTN
111898602MedicaidTX
0096DNOtherTNBLUE CROSS BLUE SHIELD
1381748MedicaidLA
913214700MedicaidFL
111898602MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000583 TX Practitioner - Obstetrics/Gynecology 0345281994 Practice locations: Houston, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019589LAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn L. Morgan M.D.,PA Gynecology PastSince Jan 1, 1990 Accepting new patients
Houston Northwest Operating Company, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1235240870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR",
            "address_2": "SUITE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902619",
            "telephone_number": "281-444-0865",
            "fax_number": "281-444-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR",
            "address_2": "SUITE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902619",
            "telephone_number": "281-444-0865",
            "fax_number": "281-444-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "GLENN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J0606",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "019589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10018165",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111898602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0096DN",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1381748",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913214700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111898602",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.