Active NPI
Morris Earle Jr., MD
- Pediatric Critical Care Medicine Physician
- Northampton, MA
National Provider Identifier
1750370201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 57034
- Practice address
- 30 Locust St
Northampton, MA 01060-2052 - Phone
- (413) 582-2792
- Fax
- (413) 582-4675
- NPI assigned
- Oct 18, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 57034 | MA | Primary |
Addresses
Primary practice location
30 Locust St
Northampton, MA 01060-2052
Mailing address
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2792
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mearle111649@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57034 | MA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lechee Health Facility | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Current | Accepting new patients | |
| Pratt Pediatric Associates Inc | Current | Accepting new patients | |
| Lawrence General Hospital | Past | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Past | Accepting new patients | |
| The General Hospital Corporation | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
Interoperability endpoints
- mearle111649@umassmemorial.direct-ci.com
- mearle128319@tuftsmedicine.direct-ci.com
- earle.morris.cdh@direct.partners.masshiway.net
- morrisearle@direct.summit-healthcare.org
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
- Pediatrics Physician
- Boston, MA
- NPI 1477590511
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
TX
-
- Clinic/Center
- Lechee, AZ
- NPI 1831448398
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1750370201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LOCUST ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602052",
"telephone_number": "413-582-2792",
"fax_number": "413-582-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LOCUST ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602052",
"telephone_number": "413-582-2792",
"fax_number": "413-582-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLE",
"first_name": "MORRIS",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MA",
"license": "57034",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mearle111649@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.