Organization Active NPI

W Gregory Morgan III MD PC

  • General Practice Physician
  • Edmond, OK
National Provider Identifier
1619099926
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10222 Issued in OK
Legal business name
W GREGORY MORGAN III MD PC
Practice address
1705 Renaissance Blvd
Suite 100
Edmond, OK 73013-3041
Phone
(405) 715-4496
Fax
(405) 682-8044
NPI assigned
Apr 6, 2007
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
William Gregory Morgan, MDNPI 1770564312
Title
Owner Doctor
Phone
(405) 359-5477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 10222 OK Primary

Addresses

Primary practice location

1705 Renaissance Blvd
Suite 100
Edmond, OK 73013-3041

Mailing address

6608 N Western Ave # 493
Oklahoma City, OK 73116-7326
Phone (405) 418-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927001008 OK Part B Supplier - Clinic/Group Practice 3971696568 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

105 S Bryant Ave
Ste 103
Edmond, OK 73034
Phone (405) 341-6100

1705 Renaissance Blvd
Ste 100
Edmond, OK 73013
Phone (405) 285-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1619099926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 N WESTERN AVE # 493",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167326",
            "telephone_number": "405-418-4800",
            "fax_number": "405-418-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 RENAISSANCE BLVD",
            "address_2": "SUITE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133041",
            "telephone_number": "405-715-4496",
            "fax_number": "405-682-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W GREGORY MORGAN III MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "405-359-5477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "10222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.