NPIMap

Organization Active NPI

Morris McKellar and Carter Moore

  • Obstetrics Physician
  • Mount Pleasant, TX
National Provider Identifier
1922016575
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
H6448 AND E8708 Issued in TX
Legal business name
MORRIS MCKELLAR AND CARTER MOORE
Practice address
304 W 20TH St
Mount Pleasant, TX 75455-2328
Phone
(903) 572-5882
Fax
(903) 572-7330
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Mrs. Beverly Wootten
Title
Office Manager
Phone
(903) 572-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X H6448 AND E8708 TX Primary

Addresses

Primary practice location

304 W 20TH St
Mount Pleasant, TX 75455-2328

Mailing address

304 W 20TH St
Mount Pleasant, TX 75455-2328
Phone (903) 572-5882

Other identifiers 1

IdentifierTypeStateIssuer
0841405-01MedicaidTX

Other names 1

  • Ob Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1922016575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 20TH ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552328",
            "telephone_number": "903-572-5882",
            "fax_number": "903-572-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 20TH ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552328",
            "telephone_number": "903-572-5882",
            "fax_number": "903-572-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS MCKELLAR AND CARTER MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "WOOTTEN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-572-5882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "H6448   AND    E8708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0841405-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ob Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.