Active NPI
John Timothy Morris, D.O.
- Vascular Surgery Physician
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 5101015983
- Practice address
- 2093 Health Dr SW
Suite 300
Wyoming, MI 49519-9691 - Phone
- (616) 532-8100
- Fax
- (616) 532-8200
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 5101015983 | MI | Primary |
| Surgery Physician | 208600000X | 5101015983 | MI |
Addresses
Primary practice location
2093 Health Dr SW
Suite 300
Wyoming, MI 49519-9691
Mailing address
2093 Health Dr SW
Suite 300
Wyoming, MI 49519-9691
Phone (616) 532-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
310 Lafayette Ave SE
Suite 301
Grand Rapids, MI 49503-4693
Phone (616) 685-7850
Hospital & facility affiliations
- Trinity Health at Home - Grand Rapids
- Mercy Health Saint Mary'S
- University of Michigan Health - West
- Spectrum Health
- Trinity Health Ann Arbor Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015983 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients |
Locations
2373 64th St SW
Byron Center, MI 49315
Phone (616) 685-1350
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
1471 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 685-3414
245 State St SE
Ste 1A
Grand Rapids, MI 49503
310 Lafayette Ave SE
Ste 301
Grand Rapids, MI 49503
Phone (616) 685-6900
1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500
2093 Health Dr SW
Ste 300
Wyoming, MI 49519
Phone (616) 235-4800
Interoperability endpoints
- jmorris45656@direct.trinity-health.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1770554677
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1982819611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2093 HEALTH DR SW",
"address_2": "SUITE 300",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199691",
"telephone_number": "616-532-8100",
"fax_number": "616-532-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2093 HEALTH DR SW",
"address_2": "SUITE 300",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199691",
"telephone_number": "616-532-8100",
"fax_number": "616-532-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JOHN",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "5101015983",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101015983",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.