Active NPI
Robert Edmund Morton
- Gastroenterology Physician
- Arlington, VA
National Provider Identifier
1366524183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101025911
- Practice address
- 1715 N George Mason Dr
Suite 204
Arlington, VA 22205-3609 - Phone
- (703) 522-7476
- Fax
- (703) 528-4209
- NPI assigned
- Oct 20, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101025911 | VA | Primary |
Addresses
Primary practice location
1715 N George Mason Dr
Suite 204
Arlington, VA 22205-3609
Mailing address
10108 S Glen Rd
Potomac, MD 20854-4132
Phone (703) 217-1621
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101025911 | VA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1366524183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10108 S GLEN RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544132",
"telephone_number": "703-217-1621",
"fax_number": "301-299-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 N GEORGE MASON DR",
"address_2": "SUITE 204",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053609",
"telephone_number": "703-522-7476",
"fax_number": "703-528-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "ROBERT",
"middle_name": "EDMUND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101025911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.