Active NPI
Jeffrey G Morgan a Professional Corp
- Gastroenterology Physician
- Salem, IN
National Provider Identifier
1831357516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01035453
- Legal business name
- JEFFREY G MORGAN A PROFESSIONAL CORP
- Practice address
- 104 Connie Ave
Ste 108
Salem, IN 47167-2305 - Phone
- (812) 883-2696
- Fax
- (812) 883-3706
- NPI assigned
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey G Morgan, MD
- Title
- Owner
- Phone
- (812) 883-2696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01035453 | IN | Primary |
Addresses
Primary practice location
104 Connie Ave
Ste 108
Salem, IN 47167-2305
Mailing address
104 Connie Ave
Ste 108
Salem, IN 47167-2305
Phone (812) 883-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200462370A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252368000000",
"number": "1831357516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CONNIE AVE",
"address_2": "STE 108",
"city": "SALEM",
"state": "IN",
"postal_code": "471672305",
"telephone_number": "812-883-2696",
"fax_number": "812-883-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CONNIE AVE",
"address_2": "STE 108",
"city": "SALEM",
"state": "IN",
"postal_code": "471672305",
"telephone_number": "812-883-2696",
"fax_number": "812-883-3706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY G MORGAN A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2009-09-08",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-883-2696",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01035453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200462370A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.