Individual provider Active NPI

Christopher Wade Morris, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1366451007
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2846 Issued in AZ
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

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
862111MedicaidAZ

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

LicenseStateTypeSpecialty
2846AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Radiation Oncology Inc PastSince Feb 6, 2023 Accepting new patients
Phoenix Urological Surgeons PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.morris@989638597148676.direct.elationemr.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.