Active NPI
R Irvin Morgan MD PA Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- Sachse, TX
National Provider Identifier
1679249023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES
- Practice address
- 4750 President George Bush Tpke
Sachse, TX 75048-4283 - Phone
- (903) 455-4051
- Fax
- (903) 454-1716
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Y Liston, CPPC
- Title
- Consultant
- Phone
- (936) 564-6002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
4750 President George Bush Tpke
Sachse, TX 75048-4283
Mailing address
PO Box 1888
Greenville, TX 75403-1888
Phone (903) 455-4051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923000272 | TX | Part B Supplier - Clinic/Group Practice | 0042288441 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, TX
- NPI 1821057506
O20040923000272
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1902145782
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, TX
- NPI 1679532451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629158400000",
"number": "1679249023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1888",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754031888",
"telephone_number": "903-455-4051",
"fax_number": "906-454-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 PRESIDENT GEORGE BUSH TPKE",
"city": "SACHSE",
"state": "TX",
"postal_code": "750484283",
"telephone_number": "903-455-4051",
"fax_number": "903-454-1716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "LISTON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "936-564-6002",
"authorized_official_credential": "CPPC"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.