Active NPI
Cal Lee Morrow, M.D.
- Family Medicine Physician
- Evanston, WY
National Provider Identifier
1457614331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9152A
- Practice address
- 196 Arrowhead Dr
Suite 1
Evanston, WY 82930-8752 - Phone
- (307) 783-8123
- NPI assigned
- Jun 16, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9152A | WY | Primary |
Addresses
Primary practice location
196 Arrowhead Dr
Suite 1
Evanston, WY 82930-8752
Mailing address
196 Arrowhead Dr
Suite 1
Evanston, WY 82930-8752
Phone (307) 783-8123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824000896 | UT | Practitioner - Family Practice | 3072737758 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9152A | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake Community Health Center, Inc. | Current | Accepting new patients | |
| Bear Lake Community Health Center, Inc. | Current | Accepting new patients |
Locations
5 W 200 N
Brigham City, UT 84302
Phone (435) 723-6033
1515 N 400 E
Ste 104
North Logan, UT 84341
Phone (435) 755-8424
517 W 100 N
Ste 110
Providence, UT 84332
Phone (435) 755-6075
517 W 100 N
Ste 210
Providence, UT 84332
Interoperability endpoints
- cal.morrow@direct.wyomingmedicalcenter.org
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.
-
- Federally Qualified Health Center (FQHC)
- Garden City, UT
- NPI 1689754475
UT
-
- Federally Qualified Health Center (FQHC)
- Brigham City, UT
- NPI 1558806125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1457614331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 ARROWHEAD DR",
"address_2": "SUITE 1",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829308752",
"telephone_number": "307-783-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 ARROWHEAD DR",
"address_2": "SUITE 1",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829308752",
"telephone_number": "307-783-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORROW",
"first_name": "CAL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-16",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "9152A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.