MEDICARE: DR. TODD C MOREHOUSE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	OS010682L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1725395	OTHER	PA	BLUE SHIELD OF PA
2	30025354	OTHER	PA	KEYSTONE MERCY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376644997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD C MOREHOUSE D.O.

Provider Business Mailing Address
First Line	:	1879 VETERANS PARK DR
Second Line	:	#1201
City	:	NAPLES
State	:	FL
Zip	:	34109
Country	:	US
Telephone Number	:	239-592-9666
Fax Number	:	239-592-1835

Provider Business Practice Location Address
First Line	:	1879 VETERANS PARK DR
Second Line	:	#1201
City	:	NAPLES
State	:	FL
Zip	:	34109
Country	:	US
Telephone Number	:	239-592-9666
Fax Number	:	239-592-1835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	01/15/2026

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