MEDICARE: MORGAN PHYSICIAN SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207V00000X	Obstetrics & Gynecology Physician
2	207RG0100X	Gastroenterology Physician
3	2086S0129X	Vascular Surgery Physician
4	367A00000X	Advanced Practice Midwife
5	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104827633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN PHYSICIAN SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1557
Second Line	:
City	:	MARTINSVILLE
State	:	IN
Zip	:	46151-0557
Country	:	US
Telephone Number	:	765-349-4600
Fax Number	:	765-349-6590

Provider Business Practice Location Address
First Line	:	2200 JOHN R WOODEN DR
Second Line	:	SUITE 201
City	:	MARTINSVILLE
State	:	IN
Zip	:	46151-1838
Country	:	US
Telephone Number	:	765-349-4600
Fax Number	:	765-349-6590

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE CYCLE
Name	:	MR. ROBERT J. PHILLIPS
Credential	:
Telephone Number	:	765-349-6500

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	05/09/2012

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Directions to “MORGAN PHYSICIAN SPECIALISTS, LLC ” Practice Location

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