Individual provider Active NPI

Stephan Wade Morris, M.D.

  • Hematology & Oncology Physician
  • Memphis, TN
National Provider Identifier
1790035608
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD0000019416 Issued in TN
Practice address
20 Dudley St
C/O Memphis Bioworks Foundation - Suite 900
Memphis, TN 38103-4904
Phone
(901) 277-5582
Fax
(901) 866-1401
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD0000019416 TN Primary

Addresses

Primary practice location

20 Dudley St
C/O Memphis Bioworks Foundation - Suite 900
Memphis, TN 38103-4904

Mailing address

2532 Windy Oaks Dr
Germantown, TN 38139-6314
Phone (901) 277-5582

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000019416TNMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1790035608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 WINDY OAKS DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396314",
            "telephone_number": "901-277-5582",
            "fax_number": "901-866-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DUDLEY ST",
            "address_2": "C/O MEMPHIS BIOWORKS FOUNDATION - SUITE 900",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034904",
            "telephone_number": "901-277-5582",
            "fax_number": "901-866-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "STEPHAN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "MD0000019416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.