Provider Demographics
NPI:1164436945
Name:MORGESON, JEFFREY S (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:S
Last Name:MORGESON
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 1:2139 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-721-2221
Mailing Address - Fax:513-345-6665
Practice Address - Street 1:2123 AUBURN AVE
Practice Address - Street 2:MOB #340
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-721-2221
Practice Address - Fax:513-345-6665
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2013-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-5534207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMO4046295Medicare ID - Type UnspecifiedMILFORD MEDICARE #
OHI26312Medicare UPIN
OHMO4046297Medicare ID - Type UnspecifiedDAYTON MEDICARE #
OHMO4046294Medicare ID - Type UnspecifiedSPRINGDALE MEDICARE #
OHMO4046296Medicare ID - Type UnspecifiedMIDDLETOWN MEDICARE #
OHMO4046298Medicare ID - Type UnspecifiedKETTERING MEDICARE #
OHMO4176391Medicare ID - Type UnspecifiedFAIRBORN MEDICARE #
OHMO4046299Medicare ID - Type UnspecifiedCOLERAIN MEDICARE #