Provider Demographics
NPI:1750327342
Name:MORGAN, JAMES P (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:MORGAN
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:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:WV
Mailing Address - Zip Code:24712-0427
Mailing Address - Country:US
Mailing Address - Phone:423-737-7415
Mailing Address - Fax:
Practice Address - Street 1:277 GREASY RIDGE RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24739-6900
Practice Address - Country:US
Practice Address - Phone:423-737-7415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101222977207P00000X
TN32100207P00000X
WV23498207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3332175Medicaid
KY7100013550Medicaid
TN3137293OtherBLUE CROSS BLUE SHIELD
TNP00364639OtherMEDICARE RAILROAD
VAP00358051OtherMEDICARE RAILROAD
VAH04390Medicare UPIN
TN3332175Medicare PIN
TN3137293OtherBLUE CROSS BLUE SHIELD