NPIMap

Organization Active NPI

Samuel D Morris

Doing business as S. David Morris

  • Nursing Facility/Intermediate Care Facility
  • Martinsburg, WV
National Provider Identifier
1336392299
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
12716 Issued in WV
Legal business name
SAMUEL D MORRIS
Doing business as
S. David Morris
Practice address
209 Clover St
Martinsburg, WV 25404-3803
Phone
(304) 263-8921
NPI assigned
Oct 23, 2008
Last updated
Jan 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Mrs. Linda Jo Blenker, B.A.
Title
Billing Manager
Phone
(304) 263-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 12716 WV Primary

Addresses

Primary practice location

209 Clover St
Martinsburg, WV 25404-3803

Mailing address

92 Halifax CT
Martinsburg, WV 25403-5075
Phone (304) 267-3810

Other identifiers 2

IdentifierTypeStateIssuer
0057046000MedicaidWV
080020708OtherWVRAILROAD INDIVIDUAL ID#

Other names 1

  • S. David Morris Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1336392299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HALIFAX CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254035075",
            "telephone_number": "304-267-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CLOVER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043803",
            "telephone_number": "304-263-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL D MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "BLENKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "304-263-8911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "12716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057046000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD INDIVIDUAL ID#",
            "identifier": "080020708",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S. David Morris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.