Provider Demographics
NPI:1083612691
Name:MORGAN, JOHN P (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-1071
Mailing Address - Country:US
Mailing Address - Phone:812-402-4263
Mailing Address - Fax:812-437-4263
Practice Address - Street 1:1150 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-1071
Practice Address - Country:US
Practice Address - Phone:812-402-4263
Practice Address - Fax:812-437-4263
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1044260207X00000X
IN01044260A207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200047180AMedicaid
IN276379OtherHEALTHLINK
IN000000108332OtherANTHEM
836570LMedicare ID - Type Unspecified
IN000000108332OtherANTHEM
6416590001Medicare NSC