Individual provider Active NPI

Morna Jayne Zogg, MD

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1902864242
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J1160 Issued in TX
Practice address
3901 W 15TH Street
Plano, TX 75075
Phone
(972) 596-6800
NPI assigned
May 3, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J1160 TX Primary

Addresses

Primary practice location

3901 W 15TH Street
Plano, TX 75075

Mailing address

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093-3656
Phone (972) 867-7862

Other identifiers 1

IdentifierTypeStateIssuer
125266002MedicaidTX

Other names 1

  • Morna Ambler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1902864242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "STE 1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-867-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH STREET",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOGG",
        "first_name": "MORNA",
        "middle_name": "JAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J1160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125266002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORNA",
            "last_name": "AMBLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.