Jason Wade Morgenson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44697 Issued in CO

Practice address

903 S 12TH St
Rocky Ford, CO 81067-2127

Phone

(719) 254-7623

Fax

(719) 254-5112

NPI assigned

Sep 16, 2006

Last updated

Jun 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1417053216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672127",
            "telephone_number": "719-254-7623",
            "fax_number": "719-254-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672127",
            "telephone_number": "719-254-7623",
            "fax_number": "719-254-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGENSON",
        "first_name": "JASON",
        "middle_name": "WADE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44697",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "44697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76372766",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calee Ann McClure, D.C.
• Julie Allison McClure, MED OTR
• Criston A Menz, LCSW
• Douglas Dean Miller, MSN, FNP
• Lori Katherine Miller, MS, CCC/SLP
• Abby Sue Mosher, LPC
• Hannah N Muth, LMT
• Christiane Nitcheu, DMD
• Lucas Craig Ortega, D.C.
• Otero County School District R-2

• Family Medicine Physician in Rocky Ford, CO
• Providers in Rocky Ford, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.