Jerry Morgan MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E5863 Issued in TX

Legal business name

JERRY MORGAN MD

Practice address

2727 Bolton Boone
Suite 101
Desoto, TX 75115

Phone

(972) 298-3308

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry Morgan, MDNPI 1578674735

Title

Owner

Phone

(972) 298-3308

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Meldon Morgan, MD

  • Pediatrics Physician
  • Desoto, TX
  • NPI 1578674735
  Authorized official Same address or phone

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427154152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE",
            "address_2": "SUITE 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-298-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE",
            "address_2": "SUITE 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-298-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MORGAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-298-3308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E5863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn James-Russell
• Rose James
• Yashwanth Jasti, M.D
• Prasanthi Jasty, M.D
• George Mark Jenkins, MD
• Tobias Jimenez, LMT
• Joanne T Steemer (Jireh Community Home Health Services)
• Johnes & Gerald, LLC (Bethel Garden Psychiatry)
• Floristene Johnson, RDN, LD
• Gwendolyn Armstrong Johnson, LMSW

• Pediatrics Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.