Active NPI
Timothy James Morgan, M.D.
- General Practice Physician
- Glenwood, IA
National Provider Identifier
1245335256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35337
- Practice address
- 711 S Vine St
Glenwood, IA 51534-1927 - Phone
- (712) 527-2420
- Fax
- (712) 527-2371
- NPI assigned
- Sep 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35337 | IA | Primary |
| General Practice Physician | 208D00000X | 16986 | NE |
Addresses
Primary practice location
711 S Vine St
Glenwood, IA 51534-1927
Mailing address
711 S Vine St
Glenwood, IA 51534-1927
Phone (712) 527-2420
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 |
|---|---|---|---|
| 2808 | SD | MD | Clinical Social Worker |
| 35337 | IA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare | Past | Accepting new patients | |
| Western Mental Health Center, Inc. | General Practice | Past | Accepting new patients |
| East Central Mental Health & Chemical Dependency Center | Past | Accepting new patients | |
| Mercy Medical Services | Past | Accepting new patients | |
| Southeastern Behavioral Healthcare | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/wmhcinc/r4/
Organizations & group practices 5
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.
-
- Counselor
- Sioux City, IA
- NPI 1134161151
-
- Community/Behavioral Health Agency
- Brookings, SD
- NPI 1699820316
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1114002573
-
- Community/Behavioral Health Agency
- Sioux Falls, SD
- NPI 1689948317
-
- Mental Health Counselor
- Marshall, MN
- NPI 1982613311
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245335256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S VINE ST",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515341927",
"telephone_number": "712-527-2420",
"fax_number": "712-527-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S VINE ST",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515341927",
"telephone_number": "712-527-2420",
"fax_number": "712-527-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IA",
"license": "35337",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "16986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.