Individual provider Active NPI

David Wayne Morris, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1487643862
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044520L Issued in PA
Practice address
1130 Perry Hwy
Pittsburgh, PA 15237-2142
Phone
(412) 847-2615
Fax
(412) 847-2623
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 MD044520L PA Primary

Addresses

Primary practice location

1130 Perry Hwy
Pittsburgh, PA 15237-2142

Mailing address

1130 Perry Hwy
Pittsburgh, PA 15237-2142
Phone (412) 847-2615

Other identifiers 1

IdentifierTypeStateIssuer
0014027720005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031219000138 PA Practitioner - Family Practice 5799682480 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Healthcare Services Current Accepting new patients
Freedom Healthcare Services CurrentSince May 1, 2019 Accepting new patients

Locations

316 Station St
Ste 100
Bridgeville, PA 15017
Phone (412) 221-1091

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1487643862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372142",
            "telephone_number": "412-847-2615",
            "fax_number": "412-847-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372142",
            "telephone_number": "412-847-2615",
            "fax_number": "412-847-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044520L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014027720005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.