Individual provider Active NPI

Paul Edward Morrison, M.D.

  • Pediatrics Physician
  • Farmington, UT
National Provider Identifier
1265695191
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9392142-1205 Issued in UT
Practice address
491 W Bourne Cir
Farmington, UT 84025-3630
Phone
(801) 939-9111
Fax
(801) 939-9309
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M-11050 ID
Pediatrics Physician 208000000X 9392142-1205 UT Primary

Addresses

Primary practice location

491 W Bourne Cir
Farmington, UT 84025-3630

Mailing address

491 W Bourne Cir
Farmington, UT 84025-3630
Phone (801) 939-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20130913000532 ID Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8527202480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-11050IDMDPediatrics Physician
9392142-1205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Pediatrics, Inc Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1265695191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 W BOURNE CIR",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253630",
            "telephone_number": "801-939-9111",
            "fax_number": "801-939-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 W BOURNE CIR",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253630",
            "telephone_number": "801-939-9111",
            "fax_number": "801-939-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M-11050",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "9392142-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.