Active NPI
Max G Morgan, MD
- Family Medicine Physician
- Lehi, UT
National Provider Identifier
1285699264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 72 154020 1205
- Practice address
- 2450 Exec Pkwy
Lehi, UT 84043-3737 - Phone
- (801) 753-5555
- Fax
- (801) 901-6478
- NPI assigned
- Apr 20, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 72 154020 1205 | UT | Primary |
| Surgery Physician | 208600000X | 154020-8905 | UT |
Addresses
Primary practice location
2450 Exec Pkwy
Lehi, UT 84043-3737
Mailing address
PO Box 95970
South Jordan, UT 84095-0970
Phone (801) 352-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285699264 | Medicaid | UT |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72 154020 1205 | UT | MD | Family Medicine Physician |
| 154020-8905 | UT | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1285699264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95970",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840950970",
"telephone_number": "801-352-9500",
"fax_number": "801-352-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 EXEC PKWY",
"city": "LEHI",
"state": "UT",
"postal_code": "840433737",
"telephone_number": "801-753-5555",
"fax_number": "801-901-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "MAX",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "72 154020 1205",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "154020-8905",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285699264",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.