Individual provider Active NPI

Evan Morgan, D.O.

  • Emergency Medicine Physician
  • Boardman, OH
National Provider Identifier
1861885782
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
012853 Issued in OH
Practice address
8401 Market St
Boardman, OH 44512-6725
Phone
(330) 729-8757
NPI assigned
Mar 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 012853 OH Primary

Addresses

Primary practice location

8401 Market St
Boardman, OH 44512-6725

Mailing address

863 Cedar Way
Unit 404
Boardman, OH 44512-5134
Phone (256) 443-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190919003202 AL Practitioner - Emergency Medicine 3870894785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Alteon Health Alabama, LLCGroup PAC ID 5698830552, 38 clinicians

Practice addresses (Care Compare)

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 537-3337

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (240) 686-2300

Hospital & facility affiliations

  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012853OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alteon Health Alabama, LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Emergency Physicians Group Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Mercy Health Youngstown LLC PastSince Jan 1, 2018 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1861885782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 CEDAR WAY",
            "address_2": "UNIT 404",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125134",
            "telephone_number": "256-443-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "EVAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "012853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.