Individual provider Active NPI

Jonathan B Morgan, MD

  • Anesthesiology Physician
  • Scottsbluff, NE
National Provider Identifier
1467554857
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18178 Issued in NE
Practice address
Two West 42ND Street
Ste 1500
Scottsbluff, NE 69361-0616
Phone
(308) 635-7362
Fax
(308) 635-0426
NPI assigned
Sep 5, 2006
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4438 SD
Anesthesiology Physician 207L00000X MD24515 ME
Anesthesiology Physician 207L00000X 18178 NE Primary

Addresses

Primary practice location

Two West 42ND Street
Ste 1500
Scottsbluff, NE 69361-0616

Mailing address

Two West 42ND Street
Ste 1500
Scottsbluff, NE 69361-0616
Phone (308) 635-7362

Other identifiers 1

IdentifierTypeStateIssuer
100908700MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20041014000814 NE Practitioner - Anesthesiology 6002710969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Nebraska LLCGroup PAC ID 2264857135, 21 clinicians

Practice addresses (Care Compare)

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (214) 687-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD24515MEMDAnesthesiology Physician
18178NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Medical Center Anesthesiology CurrentSince Oct 1, 2009 Accepting new patients
Northstar Anesthesia of Nebraska LLC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Regional West Medical Center CurrentSince Oct 1, 2009 Accepting new patients
Panhandle Anesthesia Associates PC Anesthesiology PastSince Nov 21, 2003 Accepting new patients

Locations

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional West Medical CenterScottsbluff, NE, CCN 280061 Hospital Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Jan 1, 2022
Jan 1, 2022
Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1467554857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TWO WEST 42ND STREET",
            "address_2": "STE 1500",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610616",
            "telephone_number": "308-635-7362",
            "fax_number": "308-635-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO WEST 42ND STREET",
            "address_2": "STE 1500",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610616",
            "telephone_number": "308-635-7362",
            "fax_number": "308-635-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "4438",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD24515",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "18178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100908700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.