Healthcare Provider Details

I. General information

NPI: 1609843085
Provider Name (Legal Business Name): JOSEPH MORRIS III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7552 HOSPITAL DR STE 302
GLOUCESTER VA
23061-4178
US

IV. Provider business mailing address

PO BOX 540
WEST BURLINGTON IA
52655
US

V. Phone/Fax

Practice location:
  • Phone: 804-693-9062
  • Fax: 804-693-9875
Mailing address:
  • Phone: 319-768-3200
  • Fax: 319-768-3234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number244366
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number3897
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: