Active NPI
Morgan Podiatry PA
- Podiatrist
- Palestine, TX
National Provider Identifier
1902152374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1366
- Legal business name
- MORGAN PODIATRY PA
- Practice address
- 123 Medical Dr
Suite C
Palestine, TX 75801-8510 - Phone
- (903) 729-1552
- Fax
- (903) 729-7635
- NPI assigned
- Aug 3, 2012
- Last updated
- Oct 30, 2013
- 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
- Christopher Brent Morgan, DPM
- Title
- Shareholder
- Phone
- (903) 729-1552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1366 | TX | Primary |
Addresses
Primary practice location
123 Medical Dr
Suite C
Palestine, TX 75801-8510
Mailing address
123 Medical Dr
Suite C
Palestine, TX 75801-8510
Phone (903) 729-1552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
123 Medical Dr
Ste C
Palestine, TX 75801
Phone (903) 729-1552
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Palestine, TX
- NPI 1053329904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383091200000",
"number": "1902152374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MEDICAL DR",
"address_2": "SUITE C",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758018510",
"telephone_number": "903-729-1552",
"fax_number": "903-729-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 MEDICAL DR",
"address_2": "SUITE C",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758018510",
"telephone_number": "903-729-1552",
"fax_number": "903-729-7635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORGAN PODIATRY PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-03",
"last_updated": "2013-10-30",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "BRENT",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "903-729-1552",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "1366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.