Provider Demographics
NPI:1225071046
Name:MORRIS, ERIC V (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:V
Last Name:MORRIS
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:PO BOX 633819
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:865-292-3000
Mailing Address - Fax:
Practice Address - Street 1:100 NORTHCREST DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3927
Practice Address - Country:US
Practice Address - Phone:615-384-1536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN023739207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3040738OtherBLUECROSS
TN4100206OtherBLUECROSS
TN3071491Medicaid
KY64097660Medicaid
TNP00287015OtherRAILROAD MEDICARE
TN4151484OtherBLUECROSS
TN3071499Medicaid
TN30711490Medicaid
TNP00367245OtherRAILROAD MEDICARE
TNP00367245OtherRAILROAD MEDICARE
F21692Medicare UPIN
TN3071491Medicare PIN
TN3071491Medicaid