Active NPI
Ted J Morris, CRNA
- Certified Registered Nurse Anesthetist
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0201025-4406
- Practice address
- 331 N 400 W
Orem, UT 84057-1913 - Phone
- (801) 765-0670
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0201025-4406 | UT | Primary |
Addresses
Primary practice location
331 N 400 W
Orem, UT 84057-1913
Mailing address
1345 W 3420 N
Pleasant Grove, UT 84062-8805
Phone (801) 765-0670
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693897 | Other | UT | DESERET MUTUAL |
| QM0000054865 | Other | UT | ALTIUS |
| PRA06689 | Other | UT | MOLINA |
| 66117 | Other | UT | PEHP |
| 15302 | Other | UT | HEALTHY U |
| 107009149103 | Other | UT | IHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0201025-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients | |
| Mountain View Anesthesia LC | Current | Accepting new patients |
Locations
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
96 E Kimballs Ln
Ste 100
Draper, UT 84020
Phone (801) 233-9300
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
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.
-
- Anesthesiology Physician
- Orem, UT
- NPI 1043249840
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700996089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 W 3420 N",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840628805",
"telephone_number": "801-765-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 N 400 W",
"city": "OREM",
"state": "UT",
"postal_code": "840571913",
"telephone_number": "801-765-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "TED",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "0201025-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "693897",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000054865",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA06689",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "66117",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "15302",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107009149103",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.