Individual provider Active NPI

Timothy Wagner Morgan Jr.

  • Immunology Pathology Specialist/Technologist
  • Fort Leonard Wood, MO
National Provider Identifier
1962704759
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Immunology Pathology Specialist/TechnologistTaxonomy code 246QI0000X
Practice address
200 Oklahoma Ave
Post Immunizations Team
Fort Leonard Wood, MO 65473-8931
Phone
(573) 596-1682
NPI assigned
Nov 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Immunology Pathology Specialist/Technologist 246QI0000X Primary

Addresses

Primary practice location

200 Oklahoma Ave
Post Immunizations Team
Fort Leonard Wood, MO 65473-8931

Mailing address

200 Oklahoma Ave
Post Immunizations Team
Fort Leonard Wood, MO 65473-8931
Phone (573) 596-1682

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1962704759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OKLAHOMA AVE",
            "address_2": "POST IMMUNIZATIONS TEAM",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738931",
            "telephone_number": "573-596-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OKLAHOMA AVE",
            "address_2": "POST IMMUNIZATIONS TEAM",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738931",
            "telephone_number": "573-596-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TIMOTHY",
        "middle_name": "WAGNER",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QI0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leonard Wood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.