Active NPI
Christopher Wade Morris, PA-C
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1366451007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2846
- Practice address
- 6116 E Arbor Ave Ste 108
Mesa, AZ 85206-6103 - Phone
- (480) 219-1010
- Fax
- (480) 219-1771
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2846 | AZ | Primary |
Addresses
Primary practice location
6116 E Arbor Ave Ste 108
Mesa, AZ 85206-6103
Mailing address
6116 E Arbor Ave
Ste 108
Mesa, AZ 85206-6103
Phone (480) 219-1010
Other practice location 1
1155 E Combs Rd Ste 105
Queen Creek, AZ 85140-1217
Phone (480) 219-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862111 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2846 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Radiation Oncology Inc | Past | Accepting new patients | |
| Phoenix Urological Surgeons PC | Past | Accepting new patients |
Interoperability endpoints
- christopher.morris@989638597148676.direct.elationemr.com
- https://app.meldrx.com/api/fhir/uc11142_phoenixurology
Organizations & group practices 2
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.
-
- Urology Physician
- Phoenix, AZ
- NPI 1811908544
-
- Radiation Oncology Physician
- West Warwick, RI
- NPI 1881685527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1366451007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 E ARBOR AVE",
"address_2": "STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852066103",
"telephone_number": "480-219-1010",
"fax_number": "480-219-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 E ARBOR AVE STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852066103",
"telephone_number": "480-219-1010",
"fax_number": "480-219-1771"
}
],
"practiceLocations": [
{
"address_1": "1155 E Combs Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851401217",
"country_code": "US",
"telephone_number": "480-219-1010",
"fax_number": "480-219-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRIS",
"first_name": "CHRISTOPHER",
"middle_name": "WADE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "862111",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.