Active NPI
Timothy D. Morton, PA-C
- Medical Physician Assistant
- Tacoma, WA
National Provider Identifier
1760456222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10001637
- Practice address
- 3209 S 23Rd St
Ste. 340
Tacoma, WA 98405-1602 - Phone
- (253) 272-8148
- Fax
- (253) 404-0506
- NPI assigned
- Feb 13, 2006
- Last updated
- Apr 7, 2014
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10001637 | WA | Primary |
Addresses
Primary practice location
3209 S 23Rd St
Ste. 340
Tacoma, WA 98405-1602
Mailing address
2420 S Union Ave
Ste. 200
Tacoma, WA 98405-1322
Phone (253) 272-8148
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8327140 | Medicaid | WA | |
| PA10001637 | Other | WA | WA LICENSE |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists PS | Past | Accepting new patients | |
| Western Washington Endoscopy Centers LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Sunrise Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Puyallup, WA
- NPI 1982853271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1760456222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 S UNION AVE",
"address_2": "STE. 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051322",
"telephone_number": "253-272-8148",
"fax_number": "253-404-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 S 23RD ST",
"address_2": "STE. 340",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051602",
"telephone_number": "253-272-8148",
"fax_number": "253-404-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "TIMOTHY",
"middle_name": "D.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10001637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8327140",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LICENSE",
"identifier": "PA10001637",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.