Individual provider Active NPI

Stephen E. Morgan, M.D.

  • Family Medicine Physician
  • Sussex, WI
National Provider Identifier
1861465676
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42387 Issued in WI
Practice address
N57W24950 N Corporate Cir
Prohealth Care Medical Associates
Sussex, WI 53089-4383
Phone
(262) 820-3093
Fax
(262) 532-9598
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42387 WI Primary

Addresses

Primary practice location

N57W24950 N Corporate Cir
Prohealth Care Medical Associates
Sussex, WI 53089-4383

Mailing address

N57W24950 N Corporate Cir
Prohealth Care Medical Associates
Sussex, WI 53089-4383
Phone (262) 820-3093

Other identifiers 1

IdentifierTypeStateIssuer
33347400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001177 WI Practitioner - Family Practice 5294703880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

1500 Walnut Ridge Dr
Hartland, WI 53029-9317
Phone (262) 928-7500

195 Discovery Dr
Brookfield, WI 53045-2862
Phone (262) 513-7100

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0808

N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Phone (262) 928-4704

N57W24950 N Corporate Cir
Sussex, WI 53089-4383
Phone (262) 820-3093

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42387WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc Family Medicine CurrentSince Oct 1, 2010 Accepting new patients
Prohealth Medical Group Inc. Family Medicine CurrentSince Oct 1, 2010 Accepting new patients
Prohealth Medical Group Inc Family Medicine Past Accepting new patients

Locations

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

400 Bay View Rd
Mukwonago, WI 53149
Phone (262) 363-1900

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

N57W24950 N Corporate Cir
Sussex, WI 53089
Phone (262) 820-3093

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Interoperability endpoints

  • Direct secure messaging: smorgan5059@direct.phci.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1861465676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N57W24950 N CORPORATE CIR",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894383",
            "telephone_number": "262-820-3093",
            "fax_number": "262-532-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N57W24950 N CORPORATE CIR",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894383",
            "telephone_number": "262-820-3093",
            "fax_number": "262-532-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "STEPHEN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33347400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

Verify at the official NPI Registry.