Healthcare Provider Details

I. General information

NPI: 1134579535
Provider Name (Legal Business Name): CAROLINE MORRIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2016
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 1ST AVE SE STE 100
CEDAR RAPIDS IA
52402-5417
US

IV. Provider business mailing address

1815 1ST AVE SE STE 100
CEDAR RAPIDS IA
52402-5417
US

V. Phone/Fax

Practice location:
  • Phone: 319-363-0474
  • Fax:
Mailing address:
  • Phone: 319-363-0474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD199422
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2016018191
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberMD48424
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: