Individual provider Active NPI

Paul A Morgan, PAC

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1871571018
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1505 Wigwam Pkwy Ste 330
Henderson, NV 89074-8195
Phone
(702) 878-0393
Fax
(702) 258-3777
NPI assigned
Jan 6, 2006
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 393 NV
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1505 Wigwam Pkwy Ste 330
Henderson, NV 89074-8195

Mailing address

7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Phone (702) 878-0393

Other identifiers 1

IdentifierTypeStateIssuer
1871571018MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000627 NV Practitioner - Physician Assistant 1759280126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Orthopedic and Spine CenterGroup PAC ID 4284622895, 26 clinicians

Practice addresses (Care Compare)

1505 Wigwam Pkwy
Suite 330
Henderson, NV 89074-8195
Phone (702) 878-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alfaro LTD Past Accepting new patients
Black Mountain Orthopaedics Assc LLP Orthopaedic Surgery Past Accepting new patients
Sunrise Trauma Services LLC Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paulmorgan@nosc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1871571018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284356",
            "telephone_number": "702-878-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY STE 330",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "telephone_number": "702-878-0393",
            "fax_number": "702-258-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "393",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871571018",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.