Individual provider Active NPI

Vernon Raymond Morris Jr., MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Tampa, FL
National Provider Identifier
1669424438
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
020645026 Issued in FL
Practice address
3001 N Rocky Point Dr E
Tampa, FL 33607-5810
Phone
(813) 289-9613
Fax
(813) 902-6324
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 020645026 FL Primary

Addresses

Primary practice location

3001 N Rocky Point Dr E
Tampa, FL 33607-5810

Mailing address

3001 N Rocky Point Dr E
Tampa, FL 33607-5810
Phone (813) 289-9613

Other identifiers 3

IdentifierTypeStateIssuer
266836000MedicaidFL
62940OtherFLBLUE CROSS BLUE SHIELD
ME85558OtherFLSTATE LIC

Other names 1

  • Vernon Raymond Morris Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040406001742 FL Practitioner - Orthopedic Surgery 5799778866

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Allmed Anesthesia Associates, LLC Past Accepting new patients
Laser Spine Institute of Pennsylvania, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1669424438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N ROCKY POINT DR E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075810",
            "telephone_number": "813-289-9613",
            "fax_number": "813-902-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ROCKY POINT DR E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075810",
            "telephone_number": "813-289-9613",
            "fax_number": "813-902-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "VERNON",
        "middle_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "020645026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266836000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "62940",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "ME85558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERNON",
            "last_name": "MORRIS",
            "middle_name": "RAYMOND",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.