ANDREW MORGAN MD NPI 1104895788

NPI Information

NPI: 1104895788
Provider Name: ANDREW MORGAN, MD
Classification: Pediatrics - 2080P0008X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

PECOS Registration: Yes

Address:
507 E ARMSTRONG AVE
REGIONAL DEVELOPMENT CENTER
PEORIA, IL
ZIP 61603
Phone: (309) 681-6960
Get Directions

Andrew Morgan, MD is a neurodevelopmental disabilities pediatrics in Peoria, IL. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Andrew Morgan, MD NPI is 1104895788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

507 E ARMSTRONG AVE
REGIONAL DEVELOPMENT CENTER
PEORIA, IL
ZIP 61603-201
Phone: (309) 681-6960

The NPI 1104895788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 2/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	036053465	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D14489	MEDICARE UPIN	ILLINOIS
2	07215036	OTHER	ILLINOIS	BCBS
3	IL0195	OTHER	ILLINOIS	JOHN DEERE
4	036053465	MEDICAID	ILLINOIS
5	639810	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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