Organization Active NPI

L L Morris MD Inc

  • Surgery Physician
  • Bellefontaine, OH
National Provider Identifier
1336338037
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
038166 Issued in OH
Legal business name
L L MORRIS MD INC
Practice address
212 Irving Ave
Suite a
Bellefontaine, OH 43311-2282
Phone
(937) 599-0045
Fax
(937) 599-5209
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Larry Lee Morris, MDNPI 1760544241
Title
General Surgeon
Phone
(937) 599-0045

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 038166 OH Primary

Addresses

Primary practice location

212 Irving Ave
Suite a
Bellefontaine, OH 43311-2282

Mailing address

212 Irving Ave
Suite a
Bellefontaine, OH 43311-2282
Phone (937) 599-0045

Other identifiers 1

IdentifierTypeStateIssuer
0282180MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1336338037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 IRVING AVE",
            "address_2": "SUITE A",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112282",
            "telephone_number": "937-599-0045",
            "fax_number": "937-599-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 IRVING AVE",
            "address_2": "SUITE A",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112282",
            "telephone_number": "937-599-0045",
            "fax_number": "937-599-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L L MORRIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "937-599-0045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "038166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282180",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.