Organization Active NPI

Dr. Marc Morris

  • Prosthetic/Orthotic Supplier
  • Carbondale, PA
National Provider Identifier
1295912566
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DR. MARC MORRIS
Practice address
49 Salem Ave
Carbondale, PA 18407-1928
Phone
(570) 282-2040
Fax
(570) 282-2040
NPI assigned
Jan 29, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Marc MorrisNPI 1316945256
Title
Owner
Phone
(570) 282-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

49 Salem Ave
Carbondale, PA 18407-1928

Mailing address

49 Salem Ave
Carbondale, PA 18407-1928
Phone (570) 282-2040

Other identifiers 1

IdentifierTypeStateIssuer
0504802MedicaidPA

Other names 1

  • Dr. Marc Morris Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930008186 PA DME Supplier - Physician - Podiatry 5991823080 Practice locations: Carbondale, PA

National Provider Directory

National Provider Directory

Locations

49 Salem Ave
Carbondale, PA 18407
Phone (570) 282-2040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1295912566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SALEM AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071928",
            "telephone_number": "570-282-2040",
            "fax_number": "570-282-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SALEM AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071928",
            "telephone_number": "570-282-2040",
            "fax_number": "570-282-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARC MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-282-2040"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0504802",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Marc Morris",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.