Organization Active NPI

Fred Morgan D O P C Inc

  • Orthopaedic Surgery Physician
  • Princeton, WV
National Provider Identifier
1891818878
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1596 Issued in WV
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

Updated by the provider on Jul 30, 2025

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0098560000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051209000219 WV Part B Supplier - Clinic/Group Practice 8123049830 Receives reassigned benefits from 3 practitioners
Practice locations: Princeton, WV
O20100930100624 WV DME Supplier - Physician - Osteopathic Manipulative Medicine 8123049830 Practice locations: Princeton, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.