Eduardo Javier Morales-Vicente, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

FM1437599 Issued in PA

Practice address

2666 W State St
Olean, NY 14760-1825

Phone

(716) 701-1700

NPI assigned

Sep 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

General Surgery

Education

Ponce School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradford Regional Medical ServicesGroup PAC ID 8921998535, 6 clinicians

Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olean General Hospital Hospital, Olean, NY, CCN 330103

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eduardomorales-vicente@healthsystemphysicianpc.medentdirect.com

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.

• Olean General Hospital

  • General Practice Physician
  • Bradford, PA
  • NPI 1649296781

  Multi-Specialty, NY

  Medicare reassignment Care Compare group NPD
• Bradford Regional Medical Services

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1144273814

  NY

  Medicare reassignment Care Compare group
• Olean General Hospital

  • General Practice Physician
  • Olean, NY
  • NPI 1033499017

  Multi-Specialty

  NPD
• BRMS OB/GYN

  • Obstetrics & Gynecology Physician
  • Bradford, PA
  • NPI 1821232406
  NPD (past)
• Olean General Hospital

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1245502905

  Multi-Specialty

  NPD (past)

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

• Olean General Hospital

  • General Acute Care Hospital
  • Olean, NY
  • NPI 1225083074
  Care Compare affiliation
• Olean General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Olean, NY
  • NPI 1699715904
  Care Compare affiliation

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1861828444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 JACKSON AVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011312",
            "telephone_number": "877-675-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601825",
            "telephone_number": "716-701-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011041",
            "country_code": "US",
            "telephone_number": "814-362-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES-VICENTE",
        "first_name": "EDUARDO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "FM1437599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Mitchell, NP
• Modern Pain Solutions LLC
• Meghan Monahan, LMHC
• Lynne E Moore, RN
• Marie Moore
• Abril Morales
• Dorota Maria Morawska, PT
• Mariusz Cezary Morawski, PT
• Wayne Morgan, OPTICIAN
• Lori Kay Morrill, PA

• Surgery Physician in Olean, NY
• Providers in Olean, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.