Garrison V. Morin Dba Mountain State ENT Center

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

21819 Issued in WV

Legal business name

GARRISON V. MORIN DBA MOUNTAIN STATE ENT CENTER

Practice address

321 Lutz Ave
Suite a
Martinsburg, WV 25404-6362

Phone

(304) 267-0235

Fax

(304) 267-0237

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Garrison Vasile Morin, M.D.NPI 1003874934

Title

Owner

Phone

(304) 267-0235

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrison Vasile Morin, MD

  • Otolaryngology Physician
  • Winchester, VA
  • NPI 1003874934
  NPD Authorized official
• Angela Lynn Ettinger

  • Medical Physician Assistant
  • Winchester, VA
  • NPI 1932497419
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1245329705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LUTZ AVE",
            "address_2": "SUITE A",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046362",
            "telephone_number": "304-267-0235",
            "fax_number": "304-267-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LUTZ AVE",
            "address_2": "SUITE A",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046362",
            "telephone_number": "304-267-0235",
            "fax_number": "304-267-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON V. MORIN DBA MOUNTAIN STATE ENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "GARRISON",
        "authorized_official_middle_name": "VASILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-267-0235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "21819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001886",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORIN MCARE RAILROAD INDI",
            "identifier": "P00212257",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORIN MAMSI INDIVIDUAL",
            "identifier": "2132881",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORIN NPI",
            "identifier": "1003874934",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD: GROUP",
            "identifier": "DD1745",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORIN AETNA INDIVIDUAL #",
            "identifier": "7926704",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Gardiner
• Jenine Gardner, RN
• Mark A Gardner, DPM
• Kevin R Garneau, PA-C
• Frederick Kirby Garrett, TRANSPORTATION
• Keshia Lyn Gaskins, PTA
• Gastroenterology Associates of the Shenandoah Valley, Inc
• Ellen Gavin, PT, DPT
• Pamela J Gavin, NP
• Diana Marilyn Gaviria, MD

• Otolaryngology Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Otolaryngology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.