Healthcare Provider Details

I. General information

NPI: 1154766814
Provider Name (Legal Business Name): AARON O'HARA MORGAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST
DAYTON OH
45409-2722
US

IV. Provider business mailing address

2054 TURNBULL RD
BEAVERCREEK OH
45431-3227
US

V. Phone/Fax

Practice location:
  • Phone: 817-507-8777
  • Fax:
Mailing address:
  • Phone: 817-507-8777
  • Fax:

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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34.014590
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4667
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: