NPIMap

Organization Active NPI

Robert Morris Enterprises LLC

  • Colon & Rectal Surgery Physician
  • Maumee, OH
National Provider Identifier
1821101296
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
35055343 Issued in OH
Legal business name
ROBERT MORRIS ENTERPRISES LLC
Practice address
5757 Monclova Rd
Suite 17
Maumee, OH 43537-1863
Phone
(419) 897-9045
Fax
(419) 893-3320
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Robert K. Morris, M.D.NPI 1730180829
Title
Provider/Owner
Phone
(419) 897-9045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 35055343 OH Primary

Addresses

Primary practice location

5757 Monclova Rd
Suite 17
Maumee, OH 43537-1863

Mailing address

PO Box 773
Maumee, OH 43537-0773
Phone (419) 897-9045

Other identifiers 2

IdentifierTypeStateIssuer
DF1943OtherRAILROAD MEDICARE
2874868MedicaidOH

Other names 1

  • Robert K. Morris, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1821101296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435370773",
            "telephone_number": "419-897-9045",
            "fax_number": "419-893-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD",
            "address_2": "SUITE 17",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-897-9045",
            "fax_number": "419-893-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MORRIS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "419-897-9045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "35055343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF1943",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2874868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert K. Morris, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

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