Individual provider Active NPI

Mary Sacia Morris, M.D.

  • Allergy & Immunology Physician
  • Onalaska, WI
National Provider Identifier
1811948995
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
26435 Issued in WI
Practice address
2727 Midwest Dr
Allergy Associates of la Crosse, LTD.
Onalaska, WI 54650-6758
Phone
(608) 782-2027
NPI assigned
May 13, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 26435 WI Primary

Addresses

Primary practice location

2727 Midwest Dr
Allergy Associates of la Crosse, LTD.
Onalaska, WI 54650-6758

Mailing address

2727 Midwest Dr
Allergy Associates of la Crosse, LTD.
Onalaska, WI 54650-6758
Phone (608) 782-2027

Other identifiers 4

IdentifierTypeStateIssuer
010795600MedicaidMN
0941385MedicaidIA
1811948995MedicaidSD
30783700MedicaidWI

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

LicenseStateTypeSpecialty
26435WIMDAllergy & Immunology Physician

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1811948995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MIDWEST DR",
            "address_2": "ALLERGY ASSOCIATES OF LA CROSSE, LTD.",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506758",
            "telephone_number": "608-782-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MIDWEST DR",
            "address_2": "ALLERGY ASSOCIATES OF LA CROSSE, LTD.",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506758",
            "telephone_number": "608-782-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MARY",
        "middle_name": "SACIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": "26435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010795600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0941385",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811948995",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30783700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.