Individual provider Active NPI

Nathan Michael Morgan, CRNA

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
National Provider Identifier
1609116490
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1116174 Issued in KY
Practice address
2507 Broadway St
Paducah, KY 42001-3124
Phone
(270) 442-8228
Fax
(270) 442-9566
NPI assigned
Feb 15, 2013
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1116174 KY Primary

Addresses

Primary practice location

2507 Broadway St
Paducah, KY 42001-3124

Mailing address

2507 Broadway St
Paducah, KY 42001-3124
Phone (270) 442-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, KY, OK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160304000157 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375779341 Reassigns benefits to 1 organization
I20211208000704 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375779341 Reassigns benefits to 2 organizations
I20230705000372 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375779341 Reassigns benefits to 1 organization
I20240315003260 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375779341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1116174KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Union City Anesthesia Group Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Murray Anesthetists Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Kentenn Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2022 Accepting new patients
John Kimball Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Feb 7, 2024 Accepting new patients
Ajay Aggarwal Past Accepting new patients

Locations

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

400 10th St E
Waconia, MN 55387

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

1109 E Reelfoot Ave
Ste C
Union City, TN 38261
Phone (731) 884-0600

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

104 7th St
Bay City, TX 77414
Phone (979) 241-5521

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1609116490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420013124",
            "telephone_number": "270-442-8228",
            "fax_number": "270-442-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420013124",
            "telephone_number": "270-442-8228",
            "fax_number": "270-442-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1116174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.