Provider Demographics
NPI:1164567160
Name:JOSEPH F MORRIS MD PSC
Entity Type:Organization
Organization Name:JOSEPH F MORRIS MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-564-4802
Mailing Address - Street 1:399 W MAPLE LEAF RD
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9176
Mailing Address - Country:US
Mailing Address - Phone:606-564-4802
Mailing Address - Fax:606-564-3075
Practice Address - Street 1:399 W MAPLE LEAF RD
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9176
Practice Address - Country:US
Practice Address - Phone:606-564-4802
Practice Address - Fax:606-564-3075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31017208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000051976OtherANTHEM
KY1173514OtherCHA
KY0100704OtherUNITED HEALTHCARE
KY64310170Medicaid
KY1173514OtherCHA
KY0100704OtherUNITED HEALTHCARE