James W Morgan Jr., MD
Individual provider Active NPI Surgery Physician · Lewisburg, PA
NPI 1285602201 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1285602201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD-014903E (PA)
- Practice address
- 25 Lystra Rogers Dr
Lewisburg, PA 17837-8807 - Phone
- (570) 523-3290
- Fax
- (570) 524-5231
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-014903E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Susquehanna Surgical Specialists, P.C. | Surgery | Current |
Accepting new patients |
| Evangelical Medical Services Organization | Surgery | Current | Accepting new patients |
Locations
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
7095 Westbranch Hwy
Ste 1300
Lewisburg, PA 17837
Phone (570) 768-3100
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110
1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000
135 Jpm Rd
Lewisburg, PA 17837
Phone (570) 326-8080
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | MD014903E | PA | |
| Surgery Physician | 208600000X | MD-014903E | PA | Yes |
Addresses
Primary practice location
25 Lystra Rogers Dr
Lewisburg, PA 17837-8807
Mailing address
1 Hospital Dr
Suite 306
Lewisburg, PA 17837-9350
Phone (570) 522-4110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009975630001 | Medicaid | PA |
NPI Registry JSON
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1285602201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"address_2": "SUITE 306",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-4110",
"fax_number": "570-768-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LYSTRA ROGERS DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178378807",
"telephone_number": "570-523-3290",
"fax_number": "570-524-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "PA",
"license": "MD014903E",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD-014903E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009975630001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
- Amanda Moore
- Debra S. Moore
- Nora Colleen Moore
- Terrayn Moore
- Joan L Moreau
- Nancy Morgan
- Kellie Dudash Morland
- Brittany Anne Morlock
- Miranda Morningstar
- Michael Douglas Morrison
All providers in Lewisburg, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.