Active NPI
Pauline Douglas Morrow, PA-C
- Specialist
- Longmont, CO
National Provider Identifier
1629142484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PA10003824
- Practice address
- 6800 N 79TH St
Ste. 202
Longmont, CO 80503-7042 - Phone
- (303) 652-9222
- Fax
- (303) 652-9333
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PA10003824 | WA | Primary |
Addresses
Primary practice location
6800 N 79TH St
Ste. 202
Longmont, CO 80503-7042
Mailing address
PO Box 17651
Denver, CO 80217-0651
Phone (303) 652-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3824 | WA | MD | General Practice Dentistry |
| PA10003824 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strother Dermatology and Laser Treatment Center PLLC | Past | Accepting new patients | |
| Sam Naficy, MD, PS, Inc | Past | Accepting new patients |
Interoperability endpoints
- pmorrow@evolution.emadirect.md
Organizations & group practices 3
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.
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- Castle Rock, CO
- NPI 1427569243
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1265614523
-
dba Laser Treatment Center
- Dermatology Physician
- Kirkland, WA
- NPI 1174732275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1629142484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17651",
"city": "DENVER",
"state": "CO",
"postal_code": "802170651",
"telephone_number": "303-652-9222",
"fax_number": "303-652-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 N 79TH ST",
"address_2": "STE. 202",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805037042",
"telephone_number": "303-652-9222",
"fax_number": "303-652-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORROW",
"first_name": "PAULINE",
"middle_name": "DOUGLAS",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "PA10003824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.