Active NPI
Dan Lee Morehouse, MD RVT
- Vascular Surgery Physician
- Mason City, IA
National Provider Identifier
1730175795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 32722
- Practice address
- 1306 4TH St SW
Mason City, IA 50401-2742 - Phone
- (641) 243-2154
- Fax
- (641) 243-2161
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 32722 | IA | Primary |
Addresses
Primary practice location
1306 4TH St SW
Mason City, IA 50401-2742
Mailing address
1306 4TH St SW
Mason City, IA 50401-2742
Phone (641) 243-2154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2184135 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32722 | IA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Heart Center PC | Vascular Surgery | Past | Accepting new patients |
| Mercy Clinics, Inc. | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
Vascular Surgery
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1730175795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012742",
"telephone_number": "641-243-2154",
"fax_number": "641-243-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012742",
"telephone_number": "641-243-2154",
"fax_number": "641-243-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREHOUSE",
"first_name": "DAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD RVT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IA",
"license": "32722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2184135",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.