Organization Active NPI

R Irvin Morgan MD PA Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Sachse, TX
National Provider Identifier
1679249023
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
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

Updated by the provider on Aug 17, 2021

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.