Active NPI
Wilson S Morris Jr., D.O.
- Pulmonary Disease Physician
- Lebanon, PA
National Provider Identifier
1912921115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- OS003449L
- Practice address
- 850 Tuck St
Lebanon, PA 17042-7477 - Phone
- (717) 272-8173
- Fax
- (717) 272-8422
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS003449L | PA | |
| Pulmonary Disease Physician | 207RP1001X | OS003449L | PA | Primary |
Addresses
Primary practice location
850 Tuck St
Lebanon, PA 17042-7477
Mailing address
PO Box 300
Lebanon, PA 17042-0300
Phone (717) 270-7780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006425780002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1912921115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300",
"city": "LEBANON",
"state": "PA",
"postal_code": "170420300",
"telephone_number": "717-270-7780",
"fax_number": "717-274-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 TUCK ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427477",
"telephone_number": "717-272-8173",
"fax_number": "717-272-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "WILSON",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PA",
"license": "OS003449L",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "OS003449L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006425780002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.