Provider Demographics
NPI:1619980067
Name:MORGAN, JANET DENESE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:DENESE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1611 S GREEN RD STE 160
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-6100
Mailing Address - Country:US
Mailing Address - Phone:216-381-5600
Mailing Address - Fax:216-297-3062
Practice Address - Street 1:2365 EDISON BLVD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2388
Practice Address - Country:US
Practice Address - Phone:216-553-7430
Practice Address - Fax:216-553-7449
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0869458Medicaid
OH0869458Medicaid
OHF22402Medicare UPIN