GARY EARL MORRIS MD, NPI 1659633725 — PHOENIX (AZ)

NPI 1659633725

7+ Years Experience Individual

GARY EARL MORRIS MD

06/13/2012
PROVIDER ENUMERATION DATE
07/16/2015
LAST UPDATE DATE
1659633725
NPI NUMBER

About GARY EARL MORRIS

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

GARY EARL MORRIS is a provider established in PHOENIX, AZ. The NPI number of GARY EARL MORRIS is 1659633725 and was assigned on 06/13/2012. The practitioners primary taxonomy code is: 208M00000X with license number: 50580 AZ .

Mailing address

  • City: PHOENIX
  • State: AZ
  • Postal code: 850167710
  • Phone: 6029331814
  • Fax: 6029331820
  • Address: 1919 E THOMAS RD
  • Address 2: BLDG 2108, STE 101

Primary Practice Address

  • Region : PHOENIX, AZ
  • NPI : 1659633725
  • Phone : 6029330777
  • Postalcode : 850167710
  • Address : 1919 E THOMAS RD

Provider taxonomy - Hospitalist

  • Taxonomy code: 208M00000X
  • License number: 50580
  • License state: AZ

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term "hospitalist" refers to physicians whose practice emphasizes providing care for hospitalized patients.

Healthcare provider taxonomy #2 - Student in an Organized Health Care Education/Training Program

  • Taxonomy code: 390200000X

The taxonomy is not the primary taxonomy.

Taxonomy description: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Contacts:

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  • GARY EARL MORRIS MD
  • Address : 1919 E THOMAS RD
  • Region : PHOENIX, AZ
  • NPI : 1659633725
  • Phone : 6029330777
  • Postalcode : 850167710

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1919 E THOMAS RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NamePHOENIX
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAZ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code850167710
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6029330777
The telephone number associated with the location address of the provider being identified.
NPI1659633725
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1208M00000X
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term "hospitalist" refers to physicians whose practice emphasizes providing care for hospitalized patients.
Provider Enumeration Date06/13/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07/16/2015
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)GARY EARL MORRIS
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1919 E THOMAS RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressBLDG 2108, STE 101
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NamePHOENIX
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAZ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code850167710
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6029331814
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number6029331820
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1208M00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Hospitalist
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term "hospitalist" refers to physicians whose practice emphasizes providing care for hospitalized patients.
Provider License Number 150580
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1AZ
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2390200000X
Healthcare Provider Taxonomy 2Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Healthcare Provider Primary Taxonomy Switch 2N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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