Organization Active NPI

Morgan Podiatry PA

  • Podiatrist
  • Palestine, TX
National Provider Identifier
1902152374
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1366 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Christopher Brent Morgan, DPMNPI 1053329904
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121010000450 TX Part B Supplier - Clinic/Group Practice 7517116338 Receives reassigned benefits from 1 practitioner
Practice locations: Palestine, TX
O20121108000266 TX DME Supplier - Physician - Podiatry 7517116338 Practice locations: Palestine, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.