Individual provider Active NPI

William Rohimbox Morrison IV, MD PH.D MPAS

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1366575417
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110840602 Issued in VA
Practice address
114 N Main St Ste 200
Suffolk, VA 23434-4564
Phone
(757) 983-8600
Fax
(757) 934-3012
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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 0110840602 VA Primary

Addresses

Primary practice location

114 N Main St Ste 200
Suffolk, VA 23434-4564

Mailing address

114 N Main St Ste 200
Suffolk, VA 23434-4564
Phone (757) 983-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070706000158 VA Practitioner - Physician Assistant 5294835179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

114 N Main St
Suffolk, VA 23434-4564
Phone (757) 934-1003

7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Home Care Services-Suffolk Home health agency, Suffolk, VA, CCN 497746
  • Amedisys Home Health of Newport News Home health agency, Hampton, VA, CCN 497091
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0110840602VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jan 13, 2012 Accepting new patients
Sentara Medical Group CurrentSince Mar 9, 2016 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jan 13, 2012 Accepting new patients

Locations

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2800 Godwin Blvd
Ste 210
Suffolk, VA 23434
Phone (757) 934-4162

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

114 N Main St
Ste 200
Suffolk, VA 23434
Phone (757) 934-1003

Interoperability endpoints

  • Direct secure messaging: wmorrison40135@direct.sentara.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1366575417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344564",
            "telephone_number": "757-983-8600",
            "fax_number": "757-934-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344564",
            "telephone_number": "757-983-8600",
            "fax_number": "757-934-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "WILLIAM",
        "middle_name": "ROHIMBOX",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD PH.D MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.