Provider Demographics
NPI:1144394644
Name:MORIN, NORMAN PAUL II (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:PAUL
Last Name:MORIN
Suffix:II
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 1:1995 WEST RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382
Mailing Address - Country:US
Mailing Address - Phone:276-223-1983
Mailing Address - Fax:276-223-1316
Practice Address - Street 1:1995 WEST RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:WYTHEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24382
Practice Address - Country:US
Practice Address - Phone:276-223-1983
Practice Address - Fax:276-223-1316
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010147436207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
030772OtherANTHEM
VA006405142Medicaid
4354133OtherAETNA
2116101OtherMAMSI UHC
200026979OtherRAILROAD MEDICARE
T83101OtherJOHN DEERE HEALTH
200026979OtherRAILROAD MEDICARE
T83101OtherJOHN DEERE HEALTH