Organization Active NPI

Chad a. Morse, M.D., Chartered

  • Gastroenterology Physician
  • Meridian, ID
National Provider Identifier
1568697894
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M97083 Issued in ID
Legal business name
CHAD A. MORSE, M.D., CHARTERED
Practice address
2235 E Gala St
Meridian, ID 83642-8026
Phone
(208) 887-3724
Fax
(208) 887-1682
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Dr. Chad A Morse, M.D.
Title
President
Phone
(208) 343-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X M97083 ID Primary

Addresses

Primary practice location

2235 E Gala St
Meridian, ID 83642-8026

Mailing address

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-1702

Other identifiers 1

IdentifierTypeStateIssuer
807738200MedicaidID

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1568697894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026035",
            "telephone_number": "208-343-1702",
            "fax_number": "208-342-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428026",
            "telephone_number": "208-887-3724",
            "fax_number": "208-887-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD A. MORSE, M.D., CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-343-1702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M97083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807738200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.