Provider Demographics
NPI:1144240839
Name:MORTON, STEVE W (PA)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:W
Last Name:MORTON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-891-8300
Mailing Address - Fax:502-891-8338
Practice Address - Street 1:6420 DUTCHMANS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3372
Practice Address - Country:US
Practice Address - Phone:502-891-8300
Practice Address - Fax:502-891-8338
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYPA615363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1125445OtherPASSPORT PIN
KY000000176170OtherANTHEM PIN
KY000000693044OtherANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
KYP00992194OtherRAILROAD MEDICARE
KY000057080XOtherHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY50032041OtherPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY95001053Medicaid
KY50032041OtherPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY1271834Medicare PIN
KYP400032408Medicare PIN
KY000057080XOtherHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY970016387Medicare PIN
KY0259827Medicare PIN