Morris Wade Pulliam, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

35075439P Issued in OH

Practice address

2658 Elm Rd NE
Cortland, OH 44410-9393

Phone

(330) 773-3544

Fax

(330) 773-3698

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ohio Valley Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Hudson, OH
  • NPI 1558484386
  NPD (past)
• Walter G. Bodjanac, DO, LLC

  • Plastic Surgery Physician
  • Mansfield, OH
  • NPI 1093984767
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1811976087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 BIRCH ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443012602",
            "telephone_number": "330-773-3544",
            "fax_number": "330-773-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "330-773-3544",
            "fax_number": "330-773-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "MORRIS",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35075439P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110174",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "PU0872354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Care Pediatrics, Inc.
• Stephen Prindle, PHARMD, RPH
• Professional Picc Services
• Professional Picc Services LLC
• Psycare, Inc.
• Ruth F Quarles, M.D.
• Rem Ohio Inc
• Respiratory Care Partners Inc
• Restoration Counseling, LLC
• Brenna Nicole Rimer, PT

• Neurological Surgery Physician in Cortland, OH
• Providers in Cortland, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.