Active NPI
Lawrence Lynn Morrill, DO
- Family Medicine Physician
- Roosevelt, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2623711204
- Practice address
- 210 W 300 N 75-3
Roosevelt, UT 84066 - Phone
- (435) 722-3971
- Fax
- (435) 722-6104
- NPI assigned
- Mar 24, 2006
- Last updated
- Jun 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 262371-1204 | UT | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 262371-1204 | UT | |
| Family Medicine Physician | 207Q00000X | 262371-1204 | UT | |
| Family Medicine Physician | 207Q00000X | 2623711204 | UT | Primary |
Addresses
Primary practice location
210 W 300 N 75-3
Roosevelt, UT 84066
Mailing address
210 W 300 N 75-3
Roosevelt, UT 84066
Phone (435) 722-3971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0128 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 W 300
75 2
Roosevelt, UT 84066-2336
Phone (435) 722-4691
Hospital & facility affiliations
- Uintah Basin Medical Center
- Intermountain Health Utah Valley Hospital
- Uintah Basin Rehabilitation and Senior Villa
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.32 of 100
- Quality
- 71.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262371-1204 | UT | MD | Family Medicine Physician |
| 2623711204 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uintah Basin Medical Center | Current | Accepting new patients | |
| Northeastern Utah Medical Group | Current | Accepting new patients | |
| Uintah Basin Medical Center | Current | Accepting new patients | |
| Northeastern Utah Medical Group | Family Medicine | Current | Accepting new patients |
Locations
50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426
210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
210 W 300 N
#753
Roosevelt, UT 84066
Phone (435) 722-3971
210 W 300 N
Ste 753
Roosevelt, UT 84066
250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691
250 W 300 N
Ste 75
Roosevelt, UT 84066
38080 W State Road 35
Tabiona, UT 84072
Phone (435) 848-5509
379 N 500 W
Vernal, UT 84078
Phone (435) 781-2030
405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335
475 N 500 W
Vernal, UT 84078
Phone (435) 781-2030
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Uintah Basin Rehabilitation and Senior Villa | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2016 Jan 1, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Roosevelt, UT
- NPI 1629189634
Adp of the SNF, Operational/Managerial Control
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.
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
- Family Medicine Physician
- Roosevelt, UT
- NPI 1982664199
-
- Durable Medical Equipment & Medical Supplies
- Roosevelt, UT
- NPI 1740482009
-
dba Uintah Basin Healthcare Vernal Pharmacy
- Community/Retail Pharmacy
- Vernal, UT
- NPI 1285420414
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health Infusion Center- Spanish Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- Spanish Fork, UT
- NPI 1679426944
Hospital
-
dba Intermountain Health Infusion Center- American Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- American Fork, UT
- NPI 1982557252
Hospital
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
dba Uintah Basin Medical Center Vernal
- General Acute Care Hospital
- Vernal, UT
- NPI 1881447571
-
dba UBMC Physical Therapy
- Physical Therapy Clinic/Center
- Ballard, UT
- NPI 1912750662
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1497715593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W 300 N 75-3",
"city": "ROOSEVELT",
"state": "UT",
"postal_code": "84066",
"telephone_number": "435-722-3971",
"fax_number": "435-722-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W 300 N 75-3",
"city": "ROOSEVELT",
"state": "UT",
"postal_code": "84066",
"telephone_number": "435-722-3971",
"fax_number": "435-722-6104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRILL",
"first_name": "LAWRENCE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "262371-1204",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "UT",
"license": "262371-1204",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "262371-1204",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "2623711204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D0128",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roosevelt, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.