Provider Demographics
NPI:1467419689
Name:MORGAN, SCOTT DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DAVID
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:699 E STATE ST
Mailing Address - Street 2:SHARON REGIONAL HEALTH SYSTEM
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-2057
Mailing Address - Country:US
Mailing Address - Phone:724-983-3817
Mailing Address - Fax:724-983-3941
Practice Address - Street 1:551 GREENVILLE RD
Practice Address - Street 2:SRHS MERCER FAMILY MEDICINE CTR
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-5019
Practice Address - Country:US
Practice Address - Phone:724-662-4155
Practice Address - Fax:724-662-2352
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD056727L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000205853OtherANTHEM BC & BS
PA0015714610006Medicaid
PA0015714610005Medicaid
OH2296840Medicaid
WV9801922000Medicaid
PA000000064446OtherUNISON/MEDPLUS/3 RIVERS
80145725OtherRR MEDICARE GR#CI5033
PA1041822OtherGATEWAY--GROUP #
PA5766199OtherAETNA PPO GR. 7607539
PA231928OtherHEALTH AMERICA/HEALTH ASSURANCE - GRP NUMBER
PA3340402OtherAETNA HMO GR. 3398287
PA729459OtherHIGHMARK--GRP #855908
PA0015714610006Medicaid
PA0015714610005Medicaid