MELISSA MORGAN MD PC NPI 1518232230

NPI Information

NPI: 1518232230
Provider Name: MELISSA MORGAN MD PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 37D0991536

Address:
1621 S EUCALYPTUS AVE
SUITE 202
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 459-7546
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MELISSA MORGAN MD PC is a health service clinic center in Broken Arrow, OK. MELISSA MORGAN MD PC NPI is 1518232230. The provider is registered as an organization entity type.

The provider's business location address is:

1621 S EUCALYPTUS AVE
SUITE 202
BROKEN ARROW, OK
ZIP 74012-940
Phone: (918) 459-7546
Fax: (918) 459-7575

The provider's authorized official is Melissa Morgan .
The authorized official title is President/physician and has the following contact phone number (918) 459-7546.

The CLIA number assigned to this NPI record is 37D0991536 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/13/2012 and was last updated on 3/13/2012.

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	261Q00000X	Clinic/Center		20128	OKLAHOMA	No
2	261QH0100X	Clinic/Center	Health Service	20128	OKLAHOMA	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	444522536M	MEDICARE UPIN	OKLAHOMA

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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