Individual provider Active NPI

Cal Lee Morrow, M.D.

  • Family Medicine Physician
  • Evanston, WY
National Provider Identifier
1457614331
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9152A Issued in WY
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

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
9152AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake Community Health Center, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Bear Lake Community Health Center, Inc. CurrentSince Aug 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.