Individual provider Active NPI

Morgan Holmes, PA-C

  • Medical Physician Assistant
  • Tallmadge, OH
National Provider Identifier
1982218186
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.006611RX Issued in OH
Practice address
65 Community Rd Ste C
Tallmadge, OH 44278-2358
Phone
(330) 633-6601
NPI assigned
Sep 4, 2020
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.006611RX OH Primary

Addresses

Primary practice location

65 Community Rd Ste C
Tallmadge, OH 44278-2358

Mailing address

65 Community Rd Ste C
Tallmadge, OH 44278-2358
Phone (330) 633-6601

Other practice location 1

65 Community Rd Ste F
Tallmadge, OH 44278-2358
Phone (330) 633-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210129000512 OH Practitioner - Physician Assistant 6901210186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

3300 Greenwich Rd
Unit 8
Norton, OH 44203-5781
Phone (330) 825-7371

3515 Massillon Rd
Suite 300
Uniontown, OH 44685-7854

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc CurrentSince Mar 1, 2021 Accepting new patients
Pioneer Physicians Network, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste C
Tallmadge, OH 44278
Phone (330) 633-6601

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: morgan.holmes@ppn.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1982218186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COMMUNITY RD STE C",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782358",
            "telephone_number": "330-633-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COMMUNITY RD STE C",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782358",
            "telephone_number": "330-633-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Community Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Tallmadge",
            "state": "OH",
            "postal_code": "442782358",
            "country_code": "US",
            "telephone_number": "330-633-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.006611RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

Verify at the official NPI Registry.