Provider Demographics
NPI:1619943305
Name:MORRIS, MICHAEL C (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
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 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:402-559-9800
Mailing Address - Fax:402-559-3434
Practice Address - Street 1:988102 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8102
Practice Address - Country:US
Practice Address - Phone:402-559-9800
Practice Address - Fax:402-559-3434
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24577204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0552638Medicaid
SD1578845OtherARAZ/ AMERICA'S PPO
SD235560OtherMIDLANDS CHOICE
SD4995OtherDAKOTACARE
SD34633OtherSANFORD HEALTH PLAN
NE46022474346Medicaid
MN50M73MOOtherBLUE CROSS
SD7301810Medicaid
SD770002985OtherRR MEDICARE
SD412871030205OtherPREFERRED ONE
MN114461OtherUCARE
ND12976Medicaid
SD1700726OtherMEDICA
SD57105R002OtherWPS TRICARE
SD370624200OtherDEPT OF LABOR
SDHP37133OtherHEALTHPARTNERS
SD0040029OtherBLUE CROSS
MN424737000Medicaid
MN50M73MOOtherCC SYSTEMS/ BLUE PLUS
SD370624200OtherDEPT OF LABOR
ND12976Medicaid