Individual provider Active NPI

Paul William Morrison, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Newburgh, IN
National Provider Identifier
1689628422
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01057800A Issued in IN
Practice address
4727 Rosebud Lane
Suite D
Newburgh, IN 47630-9367
Phone
(812) 490-5200
Fax
(812) 490-5203
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01057800A IN Primary

Addresses

Primary practice location

4727 Rosebud Lane
Suite D
Newburgh, IN 47630-9367

Mailing address

4727 Rosebud Lane Ste D.
Newburgh, IN 47630
Phone (812) 490-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhs@direct.deaconess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061018000220 IN Practitioner - Obstetrics/Gynecology 5092711820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul W Morrison, MD, LLCGroup PAC ID 0446256275, 2 clinicians

Practice addresses (Care Compare)

4727 Rosebud LN
Suite D
Newburgh, IN 47630-9367
Phone (812) 490-5200

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057800AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark F Morrison, M.D., P.C. Obstetrics & Gynecology Current Accepting new patients
Paul W Morrison, MD, LLC Obstetrics & Gynecology CurrentSince Jul 11, 2006 Accepting new patients

Locations

4727 Rosebud Ln
Ste D
Newburgh, IN 47630
Phone (812) 475-8975

Interoperability endpoints

  • Direct secure messaging: pmorrison32619@direct.deaconess.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1689628422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 ROSEBUD LANE STE D.",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "47630",
            "telephone_number": "812-490-5200",
            "fax_number": "812-490-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 ROSEBUD LANE",
            "address_2": "SUITE D",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309367",
            "telephone_number": "812-490-5200",
            "fax_number": "812-490-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01057800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4727 Rosebud Lane",
            "address_2": "Suite D",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476309367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.