JEFFERY CARL MORGAN (NPI# 1760557888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760557888 |
| Entity Type | Individual |
| Full Name | JEFFERY CARL MORGAN |
| Credential | M.D. |
| Practice Address |
6200 Excelsior Blvd Suite 202 St. Louis Park MN 55416 |
| Practice Telephone | 9525489340 |
| Practice Fax Number | 9525489350 |
| Mailing Telephone | 9525489340 |
| Mailing Fax Number | 9525489350 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
26754 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770914483 | Jeffery Morgan | Specialist/Technologist | 4400 Golf Acres Dr, Building J Suite D, Charlotte, NC 28208-5990 | 2013-12-05 |
| 1609878651 | Jeffery L Morgan | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2005-06-02 |
| Street Address |
6200 EXCELSIOR BLVD SUITE 202 |
| City | ST. LOUIS PARK |
| State | MN |
| Zip Code | 55416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145978 | Steady State Medicine, LLC | Family Medicine | 4001 Stinson Blvd Ste 403, Minneapolis, MN 55421-3424 | 2010-05-19 |
| 1528054301 | Timothy M Scanlan | Family Medicine | 4767 Dahlia Way N, Hugo, MN 55038-6060 | 2005-09-27 |
| 1043829625 | Sasaki Medical LLC | Family Medicine | 1919 University Ave W, St Paul, MN 55104 | 2020-07-29 |
| 1376166496 | Central Medical Wellness Inc | Family Medicine | 821 Raymond Ave Ste 230, Saint Paul, MN 55114-1503 | 2020-05-22 |
| 1629532429 | Ecc Addiction & Toxicology Services LLC | Family Medicine | 2829 University Ave Se Ste 730, Minneapolis, MN 55414-3279 | 2019-01-25 |
| 1326490475 | Sasaki Medical LLC | Family Medicine | 2233 Hamline Ave N, Ste 110, Roseville, MN 55113-5009 | 2016-07-12 |
| 1508209842 | Alexander Matthew Hubbell | Family Medicine | 606 24th Ave S Ste 602, Minneapolis, MN 55454-1438 | 2013-04-16 |
| 1790987709 | Leigh Rowan-kelly | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2007-06-01 |
| 1366562662 | Rowena Louise Archibald | Family Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2007-03-30 |
| City | ST. LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on JEFFERY CARL MORGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.