Provider Demographics
NPI:1477570380
Name:JANET E MORGAN, MD, PC
Entity Type:Organization
Organization Name:JANET E MORGAN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-836-4770
Mailing Address - Street 1:1520 E 23RD ST S
Mailing Address - Street 2:SUITE I
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-1657
Mailing Address - Country:US
Mailing Address - Phone:816-836-4740
Mailing Address - Fax:816-836-4745
Practice Address - Street 1:1520 E 23RD ST S
Practice Address - Street 2:SUITE I
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-1657
Practice Address - Country:US
Practice Address - Phone:816-836-4740
Practice Address - Fax:816-836-4745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO35847207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOX490000Medicare PIN
C50384Medicare UPIN