Active NPI
Olivia E. Morris, DO
- Sports Medicine (Orthopaedic Surgery) Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A-1818-14
- Practice address
- 10511 Golf Course Rd NW Ste 204
Albuquerque, NM 87114-5917 - Phone
- (505) 727-4430
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4121 | AZ | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 4121 | AZ | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 4121 | AZ | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | K1574 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A-1818-14 | NM | Primary |
Addresses
Primary practice location
10511 Golf Course Rd NW Ste 204
Albuquerque, NM 87114-5917
Mailing address
4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991
Phone (505) 727-4430
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5550830009 | Other | AZ | MEDICARE NSC AZ NORTH |
| 16587090 | Medicaid | NM | |
| 5550830001 | Other | AZ | MEDICARE NSC SCW |
| Z226497 | Other | AZ | MEDICARE PTAN |
| 5550830004 | Other | AZ | MEDICARE NSC PV |
| 5550830003 | Other | AZ | MEDICARE NSC PEORIA |
| 5550830007 | Other | AZ | MEDICARE NSC DV |
| 5550830008 | Other | AZ | MEDICARE NSC SWV |
| 5550830006 | Other | AZ | MEDICARE NSC ANTHEM |
| 882515 | Medicaid | AZ | |
| 5550830010 | Other | AZ | MEDICARE NSC GILBERT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4121 | AZ | MD | Periodontist |
| A-1818-14 | NM | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| K1574 | TX | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Emil H Annabi MD PC | Current | Accepting new patients | |
| Emil H Annabi MD PC | Past | Accepting new patients | |
| Payson Healthcare Management Inc | Past | Accepting new patients | |
| Rim Country Sports Medicine and Orthopedic Surgery | Past | Accepting new patients | |
| Sierra Vista Regional Health Center Medical Group LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Center for Orthopedic Research and Education, LLC | Sports Medicine | Past | Accepting new patients |
| Center for Orthopedic Research and Education Inc | Past | Accepting new patients | |
| Center for Orthopedic Research and Education LLC | Past | Accepting new patients |
Locations
4485 S I 19 Frontage Rd
#100
Green Valley, AZ 85614
Phone (520) 399-6000
6840 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 399-6000
6226 E Pima St
Ste 3
Tucson, AZ 85712
Phone (520) 323-1600
4601 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 399-6000
10511 Golf Course Rd NW
Ste 204
Albuquerque, NM 87114
Phone (505) 727-4430
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Interoperability endpoints
- omorris@pimapaincenter.gwaydirect.com
Organizations & group practices 11
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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba WNJ WellCare Medical Group
- Family Medicine Physician
- Sherman, TX
- NPI 1841696846
-
- Specialist
- Payson, AZ
- NPI 1043237886
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
dba The CORE Institute
- Durable Medical Equipment & Medical Supplies
- Prescott, AZ
- NPI 1447490321
-
dba The Core Institute
- Durable Medical Equipment & Medical Supplies
- Flagstaff, AZ
- NPI 1063251056
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
Sports Medicine
-
- Family Medicine Physician
- Payson, AZ
- NPI 1093718694
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1619998267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 INDIAN SCHOOL RD NE STE 110",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103991",
"telephone_number": "505-727-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10511 GOLF COURSE RD NW STE 204",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145917",
"telephone_number": "505-727-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "OLIVIA",
"middle_name": "E.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "4121",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "AZ",
"license": "4121",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "AZ",
"license": "4121",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "K1574",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NM",
"license": "A-1818-14",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC AZ NORTH",
"identifier": "5550830009",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16587090",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC SCW",
"identifier": "5550830001",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z226497",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC PV",
"identifier": "5550830004",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC PEORIA",
"identifier": "5550830003",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC DV",
"identifier": "5550830007",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC SWV",
"identifier": "5550830008",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC ANTHEM",
"identifier": "5550830006",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "882515",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC GILBERT",
"identifier": "5550830010",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.