Provider Demographics
NPI:1477559953
Name:MORRIS, THOMAS K (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CHERRY TREE LN
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8947
Mailing Address - Country:US
Mailing Address - Phone:724-550-4312
Mailing Address - Fax:724-550-4342
Practice Address - Street 1:600 CHERRY TREE LN
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8947
Practice Address - Country:US
Practice Address - Phone:724-550-4312
Practice Address - Fax:724-550-4342
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001921L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009271010004Medicaid
PAT19196Medicare UPIN
PA038192ZGXVMedicare PIN