Individual provider Active NPI

John R. Morton, MD

  • Obstetrics & Gynecology Physician
  • Pawtucket, RI
National Provider Identifier
1588648356
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD11288 Issued in RI
Practice address
174 Armistice Blvd
Pawtucket, RI 02860-3210
Phone
(401) 729-3600
Fax
(401) 729-2580
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD11288 RI Primary

Addresses

Primary practice location

174 Armistice Blvd
Pawtucket, RI 02860-3210

Mailing address

111 Brewster St
Department of OB/GYN
Pawtucket, RI 02860-4400
Phone (401) 729-3600

Other identifiers 2

IdentifierTypeStateIssuer
007056669OtherRIMEDICARE PTAN
9026805MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20041005001146 RI Practitioner - Obstetrics/Gynecology 6709845852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services Landmark LLCGroup PAC ID 3274761069, shared by 5 NPIs, 48 clinicians

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

255 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Jul 1, 2025 Accepting new patients
Prime Healthcare Services Landmark LLC Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Aug 1, 2016 Accepting new patients
Prime Healthcare Services Landmark LLC Obstetrics & Gynecology Past Accepting new patients

Locations

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

255 Cass Ave
Woonsocket, RI 02895
Phone (401) 762-5599

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

115 Cass Ave
#1
Woonsocket, RI 02895
Phone (401) 228-0606

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1588648356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "address_2": "DEPARTMENT OF OB/GYN",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-3600",
            "fax_number": "401-729-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603210",
            "telephone_number": "401-729-3600",
            "fax_number": "401-729-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "JOHN",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD11288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "007056669",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9026805",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.