Active NPI
Rocky Max Morgan, MD
- Surgery Physician
- Tulsa, OK
National Provider Identifier
1306876990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17305
- Practice address
- 1725 E 19TH St
Suite 800
Tulsa, OK 74104-5472 - Phone
- (918) 301-2505
- Fax
- (918) 744-3633
- NPI assigned
- Jul 3, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17305 | OK | Primary |
| Trauma Surgery Physician | 2086S0127X | 17305 | OK |
Addresses
Primary practice location
1725 E 19TH St
Suite 800
Tulsa, OK 74104-5472
Mailing address
1725 E 19TH St
Suite 800
Tulsa, OK 74104-5472
Phone (918) 301-2505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100125370A | Medicaid | OK | |
| 020023920 | Other | OK | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17305 | OK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rocky.morgan@direct.stjohnhealthsystem.com
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1306876990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 E 19TH ST",
"address_2": "SUITE 800",
"city": "TULSA",
"state": "OK",
"postal_code": "741045472",
"telephone_number": "918-301-2505",
"fax_number": "918-744-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E 19TH ST",
"address_2": "SUITE 800",
"city": "TULSA",
"state": "OK",
"postal_code": "741045472",
"telephone_number": "918-301-2505",
"fax_number": "918-744-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "ROCKY",
"middle_name": "MAX",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "17305",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "OK",
"license": "17305",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100125370A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020023920",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.