Jerry S Morgan M D L L C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10006 Issued in OK

Legal business name

JERRY S MORGAN M D L L C

Practice address

625 N Monte Vista St
Ada, OK 74820-4613

Phone

(580) 332-3211

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry S Morgan, M.D.

Title

Owner

Phone

(580) 332-3211

Specialties & licenses 1

Addresses

Other names 1

• JERRY S MORGAN M D L L C SOLE MBR Other name

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609916998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204613",
            "telephone_number": "580-332-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204613",
            "telephone_number": "580-332-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY S MORGAN M D L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-332-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JERRY S MORGAN M D L L C SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.