Individual provider Active NPI

Morgan Newel Anderson, D.O.

  • Emergency Medicine Physician
  • Pocatello, ID
National Provider Identifier
1306281944
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
O-1016 Issued in ID
Practice address
777 Hospital Way
Pocatello, ID 83201-5175
Phone
(208) 239-1000
NPI assigned
May 9, 2013
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C2041 KY
Emergency Medicine Physician 207P00000X 144242 MT
Emergency Medicine Physician 207P00000X 5101020453 MI
Emergency Medicine Physician 207P00000X O-1016 ID Primary

Addresses

Primary practice location

777 Hospital Way
Pocatello, ID 83201-5175

Mailing address

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1801

Other practice location 1

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

Other practice location 2

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888

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
I20170712001718 ID Practitioner - Emergency Medicine 0941437750 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144242MTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 4, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 4, 2023 Accepting new patients
Teton Valley Health Care, Inc CurrentSince May 8, 2018 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Idaho Pathology Laboratory Physicians Current Accepting new patients
Teton Valley Health Care Inc CurrentSince May 8, 2018 Accepting new patients
Community Medical Associates, Inc. Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Benefis Hospitals Inc CurrentSince Sep 15, 2024 Accepting new patients
Teton Valley Health Care, Inc CurrentSince May 8, 2018 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Rocky Mountain Physician Group LLC Emergency Medicine CurrentSince Feb 10, 2018 Accepting new patients
BMH Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Idaho Em I Medical Services PC Emergency Medicine Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

Interoperability endpoints

  • Direct secure messaging: amorgan258969@ahs.direct-ci.com
  • Direct secure messaging: manderson53285@benefishs.direct-ci.com
  • Direct secure messaging: morgan.anderson.1@15468.direct.athenahealth.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1306281944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015175",
            "telephone_number": "208-239-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015175",
            "telephone_number": "208-239-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Audubon Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171318",
            "country_code": "US",
            "telephone_number": "502-636-7225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MORGAN",
        "middle_name": "NEWEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C2041",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "144242",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101020453",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.