Organization Active NPI

Jeffrey G Morgan a Professional Corp

  • Gastroenterology Physician
  • Salem, IN
National Provider Identifier
1831357516
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01035453 Issued in IN
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

Updated by the provider on Sep 8, 2009

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200462370AMedicaidIN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.