NPIMap

Individual provider Active NPI

Randall C Morgan, M.D.

  • Orthopaedic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1356335111
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME86466 Issued in FL
Practice address
2750 Bahia Vista Street
Suite 100
Sarasota, FL 34239
Phone
(941) 951-2663
Fax
(941) 360-2233
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME86466 FL Primary

Addresses

Primary practice location

2750 Bahia Vista Street
Suite 100
Sarasota, FL 34239

Mailing address

2750 Bahia Vista Street
Suite 100
Sarasota, FL 34239
Phone (941) 951-2663

Other identifiers 3

IdentifierTypeStateIssuer
201891461OtherFLTAX ID
64050OtherFLBCBS
272196100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000229 FL Practitioner - Orthopedic Surgery 7911967682 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86466FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Orthopedic Associates, LLC Orthopaedic Surgery CurrentSince May 14, 2007 Accepting new patients
Mark. B. Lonstein M.D.P.a. Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Jan 5, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Jan 5, 2022 Accepting new patients
Sarasota Orthopedic Associates LLC Orthopaedic Surgery CurrentSince May 14, 2007 Accepting new patients
Randall C Morgan Jr MD PA Orthopaedic Surgery CurrentSince Nov 10, 2004 Accepting new patients
Illiana Surgery & Medical Center, LLC Orthopaedic Surgery Past Accepting new patients
Surgery Center at University Park, LLC PastSince Apr 30, 2003 Accepting new patients
The Methodist Hospitals, Inc Orthopaedic Surgery Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

300 Riverside Dr E
Ste 1500
Bradenton, FL 34208
Phone (941) 714-3338

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

2032 Hillview St
Sarasota, FL 34239
Phone (941) 444-8762

6230 University Pkwy
Ste 203
Sarasota, FL 34240
Phone (813) 448-3848

2750 Bahia Vista St
Ste 100
Sarasota, FL 34239

Interoperability endpoints

  • Direct secure messaging: rmorgan@mblm-fl.direct.office.nextgen.com

Organizations & group practices 10

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1356335111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA STREET",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-951-2663",
            "fax_number": "941-360-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA STREET",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-951-2663",
            "fax_number": "941-360-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "RANDALL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME86466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201891461",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64050",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272196100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.