Justin S Morgan (NPI# 1255627733, PAC ID# 9931357209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1255627733 |
PAC ID by PECOS | 9931357209 |
Professional Enrollment ID | I20130109000224 |
Full Name | Justin S Morgan |
Organization Legal Name | MEDICINE LODGE MEMORIAL HOSPITAL |
Address |
710 N Walnut St Medicine Lodge KS 67104-1019 |
Phone Number | 6208863771 |
Gender | M |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 2011 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 6901879410 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
171334 | MEDICINE LODGE MEMORIAL HOSPITAL |
170039 | SUMNER REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
710 N Walnut St, Medicine Lodge, KS 67104-1019 | 6208863771 | MEDICINE LODGE MEMORIAL HOSPITAL |
Organization Legal Name | MEDICINE LODGE MEMORIAL HOSPITAL |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald R Ransom | General Surgery | Medicine Lodge Memorial Hospital | 800 Share Dr, Alva, OK 73717-3618 |
Christopher P Martin | Nurse Practitioner | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Lois Leigh Schreiner | Physician Assistant | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Patricia M Mcnamar | Nurse Practitioner | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Gary B Morsch | Family Practice | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Street Address |
710 N WALNUT ST |
City | MEDICINE LODGE |
State | KS |
Zip | 67104-1019 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher P Martin | Nurse Practitioner | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Lois Leigh Schreiner | Physician Assistant | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Patricia M Mcnamar | Nurse Practitioner | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Gary B Morsch | Family Practice | Medicine Lodge Memorial Hospital | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
Name | Specialty | Organization | Address |
---|---|---|---|
Troy O Maydew | Optometry | Maydew Thibault Optometry LLC | 604 N Walnut St, Medicine Lodge, KS 67104-1115 |
City | MEDICINE LODGE |
Zip Code | 67104 |
Specialty | FAMILY MEDICINE |
City + Specialty | MEDICINE LODGE + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.