Active NPI
Fred Morgan D O P C Inc
- Orthopaedic Surgery Physician
- Princeton, WV
National Provider Identifier
1891818878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1596
- Legal business name
- FRED MORGAN D O P C INC
- Practice address
- 311 Courthouse Road
Princeton, WV 24740-2421 - Phone
- (304) 425-9563
- Fax
- (304) 487-4802
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy R. Pentasuglia
- Title
- Credentialling/Billing Specialist
- Phone
- (304) 431-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1596 | WV | Primary |
Addresses
Primary practice location
311 Courthouse Road
Princeton, WV 24740-2421
Mailing address
311 Courthouse Rd
Princeton, WV 24740-2421
Phone (304) 425-9563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098560000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Princeton, WV
- NPI 1548617186
-
- Orthopaedic Surgery Physician
- Princeton, WV
- NPI 1225133226
-
- Physician Assistant
- Princeton, WV
- NPI 1528181930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1891818878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 COURTHOUSE RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402421",
"telephone_number": "304-425-9563",
"fax_number": "304-487-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 COURTHOUSE ROAD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402421",
"telephone_number": "304-425-9563",
"fax_number": "304-487-4802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED MORGAN D O P C INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "PENTASUGLIA",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CREDENTIALLING/BILLING SPECIALIST",
"authorized_official_telephone_number": "304-431-4700"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "WV",
"license": "1596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098560000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.