Individual provider Active NPI

David Morgan, PA-C

  • Medical Physician Assistant
  • Washington, MO
National Provider Identifier
1336581685
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2013025067 Issued in MO
Practice address
10 Franklin Ave
Washington, MO 63090-3000
Phone
(636) 239-2741
NPI assigned
Jul 26, 2013
Last updated
Jul 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2013025067 MO Primary

Addresses

Primary practice location

10 Franklin Ave
Washington, MO 63090-3000

Mailing address

7340 Ethel Ave Apt 1E
Richmond Heights, MO 63117-1736
Phone (479) 283-6912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140213000297 MO Practitioner - Physician Assistant 0547499626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2013025067MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Residence CurrentSince Jan 13, 2026 Accepting new patients

Locations

1101 N Jefferson Ave
#B
Saint Louis, MO 63106
Phone (314) 417-1070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1336581685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 ETHEL AVE APT 1E",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171736",
            "telephone_number": "479-283-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FRANKLIN AVE",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903000",
            "telephone_number": "636-239-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2013025067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.