Active NPI
Christopher Joseph Morin, MD
- Vascular Surgery Physician
- Broomfield, CO
National Provider Identifier
1629145974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 44862
- Practice address
- 2205 W 136TH Ave Ste 106
#220
Broomfield, CO 80023-9306 - Phone
- (720) 879-8320
- NPI assigned
- Nov 30, 2006
- Last updated
- Nov 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 44862 | CO | |
| Vascular Surgery Physician | 2086S0129X | 44862 | CO | Primary |
Addresses
Primary practice location
2205 W 136TH Ave Ste 106
#220
Broomfield, CO 80023-9306
Mailing address
2205 W 136TH Ave Ste 106
#220
Broomfield, CO 80023-9306
Phone (720) 879-8320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44862 | Other | CO | LICENSE |
| MD064122L | Other | PA | LICENSE |
| 01056552B | Other | IN | LICENSE |
| MD 6010 | Other | RI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44862 | CO | MD | Vascular Surgery Physician |
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Denver, CO
- NPI 1790066934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1629145974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 W 136TH AVE STE 106",
"address_2": "#220",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239306",
"telephone_number": "720-879-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 W 136TH AVE STE 106",
"address_2": "#220",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239306",
"telephone_number": "720-879-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "CHRISTOPHER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "44862",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CO",
"license": "44862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "44862",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD064122L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "01056552B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD 6010",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.