MEDICARE: DR. ROY NICOLAS MORCOS MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35053082	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	H143710	OTHER	OH	MEDICARE PTAN

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	:	1578545943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY NICOLAS MORCOS MD

Provider Business Mailing Address
First Line	:	PO BOX 636988
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6988
Country	:	US
Telephone Number	:	888-940-2722
Fax Number	:	513-632-8898

Provider Business Practice Location Address
First Line	:	8423 MARKET ST
Second Line	:	STE 101
City	:	BOARDMAN
State	:	OH
Zip	:	44512-6778
Country	:	US
Telephone Number	:	330-729-8700
Fax Number	:	330-729-8701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	10/05/2015

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