Organization Active NPI

Jesse Morgan, M.D., LLC

  • Orthopaedic Surgery Physician
  • Bartow, FL
National Provider Identifier
1750568044
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME62607 Issued in FL
Legal business name
JESSE MORGAN, M.D., LLC
Practice address
1350 E Main St
Suite B-5
Bartow, FL 33830-5065
Phone
(863) 804-0200
Fax
(863) 804-0222
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Ms. Gina C Morgan
Title
Office Manager
Phone
(863) 804-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME62607 FL Primary

Addresses

Primary practice location

1350 E Main St
Suite B-5
Bartow, FL 33830-5065

Mailing address

1350 E Main St
Suite B-5
Bartow, FL 33830-5065
Phone (863) 804-0200

National Provider Directory

National Provider Directory

Locations

1350 E Main St
Ste B-5
Bartow, FL 33830
Phone (863) 676-7914

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1750568044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "SUITE B-5",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305065",
            "telephone_number": "863-804-0200",
            "fax_number": "863-804-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "SUITE B-5",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305065",
            "telephone_number": "863-804-0200",
            "fax_number": "863-804-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE MORGAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "863-804-0200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME62607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.