Wayne L Morton, MD

Individual provider Active NPI Family Medicine Physician · Osceola, MO

NPI 1669413886 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1669413886
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
R6098 (MO)
Practice address
101 Giesler Drive
Osceola, MO 64776-6297
Phone
(417) 646-8123
Fax
(417) 646-8911
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R6098 MO Yes
Non-Pharmacy Dispensing Site 332900000X R6098 MO

Addresses

Primary practice location

101 Giesler Drive
Osceola, MO 64776-6297

Mailing address

PO Box 570
Osceola, MO 64776-0570
Phone (417) 646-8123

Other identifiers

IdentifierTypeStateIssuer
600578918MedicaidMO
200578920MedicaidMO
33471OtherMOHEALTHCARE USA MC
04840042OtherMOBLUE CROSS BLUE SHIELD KC
328760OtherMOFAMILY HEALTH PARTNERS
129236OtherMOHEALTHLINK

Other providers in Osceola, MO

All providers in Osceola, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.