Organization Active NPI

Morasch Medical, PC

  • Family Medicine Physician
  • Walla Walla, WA
National Provider Identifier
1669153045
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MORASCH MEDICAL, PC
Practice address
1622 Howard St
Walla Walla, WA 99362-4153
Phone
(509) 520-5520
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Robert G Morasch, MDNPI 1669478137
Title
Owner
Phone
(949) 933-9644

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1622 Howard St
Walla Walla, WA 99362-4153

Mailing address

1644 Plaza Way # 427
Walla Walla, WA 99362-4325
Phone (949) 933-9644

Other practice location 1

1129 S 2nd Ave Ste B
Walla Walla, WA 99362-4100
Phone (509) 520-5520

Other identifiers 1

IdentifierTypeStateIssuer
1085023MedicaidWA

Other names 1

  • Heritage Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230928000755 WA Part B Supplier - Clinic/Group Practice 7214381045 Receives reassigned benefits from 1 practitioner
Practice locations: Walla Walla, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2294720The Heritage Clinic1622 Howard St, Walla Walla, WA 99362Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1129 S 2nd Ave
Ste B
Walla Walla, WA 99362
Phone (509) 382-7002

1622 Howard St
Walla Walla, WA 99362
Phone (509) 520-5520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1669153045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 PLAZA WAY # 427",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624325",
            "telephone_number": "949-933-9644",
            "fax_number": "352-900-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 HOWARD ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624153",
            "telephone_number": "509-520-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 S 2nd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624100",
            "country_code": "US",
            "telephone_number": "509-520-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORASCH MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MORASCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-933-9644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1085023",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.