Dorene M Morris, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS007956L Issued in PA

Legal business name

DORENE M MORRIS, D.O.

Practice address

700 Erie St Ext
Saegertown, PA 16433

Phone

(814) 763-2010

Fax

(814) 763-5535

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Dorene M MorrisNPI 1760455539

Title

D.O./Owner

Phone

(814) 763-2010

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorene M Morris, D.O.

  • Family Medicine Physician
  • Tuscumbia, AL
  • NPI 1760455539
  NPD (past) Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1689858482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ERIE ST EXT",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "16433",
            "telephone_number": "814-763-2010",
            "fax_number": "814-763-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ERIE ST EXT",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "16433",
            "telephone_number": "814-763-2010",
            "fax_number": "814-763-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORENE M MORRIS, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DORENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "D.O./OWNER",
        "authorized_official_telephone_number": "814-763-2010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007956L",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS007956L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014295890011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Saegertown, PA
• Providers in Saegertown, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.