Active NPI
Gary L. Morgan, M.S. CCC-A
- Audiologist
- Madison, WI
National Provider Identifier
1326252115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 118-156
- Practice address
- 4510 Regent St
Suite D
Madison, WI 53705-4963 - Phone
- (608) 238-1199
- Fax
- (608) 238-1985
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 118-156 | WI | Primary |
Addresses
Primary practice location
4510 Regent St
Suite D
Madison, WI 53705-4963
Mailing address
4510 Regent St
Suite D
Madison, WI 53705-4963
Phone (608) 238-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41117500 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118-156 | WI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326252115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 REGENT ST",
"address_2": "SUITE D",
"city": "MADISON",
"state": "WI",
"postal_code": "537054963",
"telephone_number": "608-238-1199",
"fax_number": "608-238-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 REGENT ST",
"address_2": "SUITE D",
"city": "MADISON",
"state": "WI",
"postal_code": "537054963",
"telephone_number": "608-238-1199",
"fax_number": "608-238-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "GARY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "M.S. CCC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "118-156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41117500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.