Lawrence Lynn Morrill, DO
Individual provider Active NPI Family Medicine Physician · Roosevelt, UT
NPI 1497715593 · NPPES record last updated Jun 2, 2017
Key facts
- NPI
- 1497715593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2623711204 (UT)
- Practice address
- 210 W 300 N 75-3
Roosevelt, UT 84066 - Phone
- (435) 722-3971
- Fax
- (435) 722-6104
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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
- Uintah Basin Medical Center
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060112000926 | UT | Practitioner - General Practice | 9335162536 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | Family Medicine | Current |
Accepting new patients |
| Uintah Basin Medical Center | Current |
Accepting new patients | |
| Northeastern Utah Medical Group | Current |
Accepting new patients | |
| Uintah Basin Medical Center | Past | Accepting new patients | |
| Uintah Basin Medical Center | Past | Accepting new patients |
Locations
50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426
210 W 300 N
Ste 753
Roosevelt, UT 84066
250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
250 W 300 N
Ste 75
Roosevelt, UT 84066
250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691
210 W 300 N
#753
Roosevelt, UT 84066
Phone (435) 722-3971
210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
38080 W State Road 35
Tabiona, UT 84072
Phone (435) 848-5509
475 N 500 W
Vernal, UT 84078
Phone (435) 781-2030
379 N 500 W
Vernal, UT 84078
Phone (435) 781-2030
405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335
Specialties & licenses
| 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 | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0128 | Medicaid | UT |
Other providers in Roosevelt, UT
- Kaydee Meacham
- Tammy Davies Meacham
- Holly Michelle Mickelson
- Melody A Miller
- Audra Morlan
- Russell L Muir
- Greg Neilsen
- Travis Dee Nelson
- Adam Sanford Nielson
- Robert Nielson
All providers in Roosevelt, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.