Healthcare Provider Details

I. General information

NPI: 1851706691
Provider Name (Legal Business Name): JOSHUA J MORGAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 WASHINGTON VILLAGE DR STE 130
CENTERVILLE OH
45459-4094
US

IV. Provider business mailing address

1 PRESTIGE PL STE 550
MIAMISBURG OH
45342-6115
US

V. Phone/Fax

Practice location:
  • Phone: 937-531-0195
  • Fax: 937-531-0196
Mailing address:
  • Phone: 937-762-1310
  • Fax: 937-522-8493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34.013842
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: