Active NPI
Booker Talforia Morris, MD
- Obstetrics & Gynecology Physician
- Elkhart, IN
National Provider Identifier
1689623159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01063350A
- Practice address
- 1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450 - Phone
- (574) 293-2983
- Fax
- (574) 293-1298
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01063350A | IN | Primary |
Addresses
Primary practice location
1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450
Mailing address
1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450
Phone (574) 293-2983
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102585120 | Medicaid | MI | |
| 000000655399 | Other | IN | BCBS WCCC |
| 1601110811 | Other | MI | BCBS OF MI |
| 000000520390 | Other | IN | ANTHEM BCBS # |
| 200852990 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1689623159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 LAWN AVE",
"address_2": "SUITE 100",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142450",
"telephone_number": "574-293-2983",
"fax_number": "574-293-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LAWN AVE",
"address_2": "SUITE 100",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142450",
"telephone_number": "574-293-2983",
"fax_number": "574-293-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "BOOKER",
"middle_name": "TALFORIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01063350A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102585120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WCCC",
"identifier": "000000655399",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "1601110811",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS #",
"identifier": "000000520390",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200852990",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.