Healthcare Provider Details

I. General information

NPI: 1588976492
Provider Name (Legal Business Name): NICHOLAS A MORTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E BROADWAY STE 100
COLUMBIA MO
65201-5821
US

IV. Provider business mailing address

1601 E BROADWAY STE 100
COLUMBIA MO
65201-5821
US

V. Phone/Fax

Practice location:
  • Phone: 573-443-8796
  • Fax: 573-443-0737
Mailing address:
  • Phone: 573-443-8796
  • Fax: 573-443-0737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.124163
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: