Individual provider Active NPI

Marc Morris, DPM

  • Podiatrist
  • Carbondale, PA
National Provider Identifier
1316945256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001702L Issued in PA
Practice address
49 Salem Ave
Carbondale, PA 18407-1928
Phone
(570) 282-2040
Fax
(570) 282-2040
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001702L PA 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001702LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Marc Morris Podiatrist CurrentSince Jun 1, 1976 Accepting new patients
Propes Podiatry LLC PastSince Jul 13, 2025 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316945256",
    "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": {
        "last_name": "MORRIS",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001702L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0504802",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.