Individual provider Active NPI

Wayne J Morgan, M.D., DCS

  • Pediatric Pulmonology Physician
  • Tucson, AZ
National Provider Identifier
1649295569
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
13331 Issued in AZ
Practice address
535 N Wilmot Rd
Suite #101
Tucson, AZ 85711
Phone
(520) 694-9988
Fax
(520) 694-9917
NPI assigned
Jul 13, 2006
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 13331 AZ Primary

Addresses

Primary practice location

535 N Wilmot Rd
Suite #101
Tucson, AZ 85711

Mailing address

2701 E Elvira Rd
Tucson, AZ 85756-7214
Phone (520) 626-7780

Other identifiers 1

IdentifierTypeStateIssuer
237869MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000112 AZ Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 1052396678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13331AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Pediatrics CurrentSince May 14, 1982 Accepting new patients
Banner-University Medical Group CurrentSince May 14, 1982 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

1852 N Mastick Way
Nogales, AZ 85621

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

1625 N Campbell Ave
Tucson, AZ 85719

2701 E Elvira Rd
Tucson, AZ 85756
Phone (520) 874-4024

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

2916 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 694-9937

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1649295569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E ELVIRA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857567214",
            "telephone_number": "520-626-7780",
            "fax_number": "520-626-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD",
            "address_2": "SUITE #101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-694-9988",
            "fax_number": "520-694-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "WAYNE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D., DCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "AZ",
            "license": "13331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.