Clarke Jerome Morton, M.D.
Individual provider Active NPI Emergency Medicine Physician · Newport News, VA
NPI 1497789515 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1497789515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 010123296 (VA)
- Practice address
- 2 Bernardine Dr
Newport News, VA 23602 - Phone
- (757) 886-6000
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of California, San Francisco School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Missouri Hospital Physicians LLC
Western Virginia Regional Emergency Physicians LLC
Southern Illinois Medical Services NFP
Practice addresses (Care Compare)
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Hospital & facility affiliations
- Lee County Community Hospital
- Mercy Hospital Southeast
- Harrisburg Medical Center
- Lonesome Pine Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in VA, IL, NC, TX, IN, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061012000605 | VA | Practitioner - Emergency Medicine | 0345246443 | Reassigns benefits to 4 organizations |
| I20180601000427 | IL | Practitioner - Emergency Medicine | 0345246443 | Reassigns benefits to 2 organizations |
| I20201103000383 | NC | Practitioner - Emergency Medicine | 0345246443 | Reassigns benefits to 1 organization |
| I20201118002136 | TX | Practitioner - Emergency Medicine | 0345246443 | Reassigns benefits to 1 organization |
| I20231019000618 | IN | Practitioner - Emergency Medicine | 0345246443 | Reassigns benefits to 1 organization |
| I20241202002631 | MO | Practitioner - Emergency Medicine | 0345246443 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010123296 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Hospital Physicians, LLC | Current |
Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current |
Accepting new patients | |
| Rockford Health Physicians | Current |
Accepting new patients | |
| Emergency Physicians of Southern Virginia LLP | Emergency Medicine | Current |
Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Western Virginia Regional Emergency Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Rosebud Indian Health Service | Current |
Accepting new patients | |
| Rosebud Indian Health Service | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Sheridan Emergency Physician Services of Kansas, PA | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Parallel Parkway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Sheridan Emergency Physician Services of Kansas, P.a. | Emergency Medicine | Past | Accepting new patients |
| Columbia Healthcare of Central Virginia Inc | Past |
Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
6515 Stellhorn Rd
Fort Wayne, IN 46815
Phone (260) 435-7001
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
275 W 12th St
Peru, IN 46970
Phone (317) 472-8022
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200
1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700
Interoperability endpoints
- cmorton191220@ahs.direct-ci.com
- cmorton25489@sih.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01048671A | IN | |
| Emergency Medicine Physician | 207P00000X | 036094426 | IL | |
| Emergency Medicine Physician | 207P00000X | 010123296 | VA | Yes |
Addresses
Primary practice location
2 Bernardine Dr
Newport News, VA 23602
Mailing address
PO Box 634706
Cincinnati, OH 45263-0001
Phone (865) 292-3000
Other practice location 1
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171
Other practice location 2
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Other practice location 3
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00343474 | Other | VA | RAILROAD MEDICARE |
| 1497789515 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmorton25489@sih.direct-ci.com | ||
| Direct Messaging Address | cmorton25489@sih.direct-ci.com | ||
| Direct Messaging Address | cmorton25489@sih.direct-ci.com |
Other providers in Newport News, VA
- Rachel Hubbard Morris
- Emily R. Morrison
- Morrison, Hartley, & Sanchez, P.C.
- Jeffrey D Morrison
- Jennifer Morrison
- Christian Wenger Mosemann
- Marisa Mosier
- Lucelly Mosquera
- Lloyreen Moss Fraser
- Alyssa Moss
All providers in Newport News, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. 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.
- 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.