JACK L MORGAN JR. (NPI# 1851387930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851387930 |
Entity Type | Individual |
Full Name | JACK L MORGAN JR. |
Credential | DO |
Practice Address |
3500 Frank Phillips Er Dept Bartlesville OK 74006 |
Mailing Address |
226 Se Debell Bldg A Bartlesville OK 74006 |
Practice Telephone | 9183337200 |
Practice Fax Number | 9183311091 |
Mailing Telephone | 9183311090 |
Mailing Fax Number | 9183311091 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2018-06-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3040 | OK | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 3040 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100100690B | 05 | |
OK | MEDICARE RAILROAD | P00265529 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902993488 | Jack Morgan | Chiropractor | 541 N Main St, Cedartown, GA 30125-2301 | 2006-10-06 |
1568437309 | Jack William Morgan | Chiropractor | 1100 Seminole Blvd, Largo, FL 33770 | 2006-02-22 |
1669475489 | Jack Morgan | Podiatrist | 500 N Garfield Ave, Ste 108, Monterey Park, CA 91754-1242 | 2005-05-24 |
1215973490 | Jack Colbert Morgan IIi | Psychiatry & Neurology | 6005 Park Avenue, Suite 509, Memphis, TN 38119 | 2006-06-22 |
1457321507 | Jack Clarence Morgan | Dentist | 3003 South Loop W, Suite 555, Houston, TX 77054-1301 | 2006-01-23 |
1154307213 | Jack Morgan | Internal Medicine | 9669 N Kenton, Ste 404, Skokie, IL 60076 | 2005-12-21 |
Street Address |
3500 FRANK PHILLIPS ER DEPT |
City | BARTLESVILLE |
State | OK |
Zip Code | 74006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780765719 | Derek M Matheson | Internal Medicine | 3500 Frank Phillips, Hospitalist, Bartlesville, OK 74006 | 2006-10-17 |
1740248368 | Francis C Eaton | Emergency Medicine | 3500 Frank Phillips, Er Dept, Bartlesville, OK 74006 | 2006-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
Find all providers in zip 74006 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558312421 | Tamunosisi E Legg-jack | Emergency Medicine | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2006-05-15 |
1033109673 | Natalie J Gilbert | Emergency Medicine | 3500 E Frank Phillips Blvd, Er Dept, Bartlesville, OK 74006-2411 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
1578512596 | Medhat S.f. Michael | Emergency Medicine | 1265 E 33rd St, Edmond, OK 73013-6307 | 2006-05-08 |
1639137409 | Jerry C Childs Jr. | Emergency Medicine | 1520 Morning Star, Edmond, OK 73034-6579 | 2006-05-02 |
1134186299 | Boyd David Burns | Emergency Medicine | 4502 E. 41st St, Tulsa, OK 74135-9923 | 2006-05-01 |
1649235532 | Stephen R Gilliland | Emergency Medicine | 8813 S 71st East Ave, Tulsa, OK 74133-5056 | 2006-04-20 |
1811959166 | Andrew Mark Hoelscher | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2006-04-03 |
1841260015 | Joseph M. Nicholson IIi | Emergency Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-01-23 |
1518947100 | Elizabeth S Monnot | Emergency Medicine | 503 S Aspen Ave, Broken Arrow, OK 74012-2296 | 2006-01-19 |
1225018757 | Stanley R Stacy | Emergency Medicine | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2006-01-19 |
Find all providers with the same taxonomy |
City | BARTLESVILLE |
Zip Code | 74006 |
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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.