Provider Demographics
NPI:1750452827
Name:MORRIS, ANTHONY A (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:A
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:PO BOX 2518
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23327-2518
Mailing Address - Country:US
Mailing Address - Phone:757-549-0222
Mailing Address - Fax:
Practice Address - Street 1:1419 CEDAR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7492
Practice Address - Country:US
Practice Address - Phone:757-842-6180
Practice Address - Fax:757-842-6181
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA345672OtherANTHEM
VA104078OtherANTHEM
VA75063OtherMEDCO
VA010041741Medicaid
VA1750452827OtherVA MEDICAID
VA72637OtherOPTIMA
VA0004520572OtherAETNA
VA00V918C01Medicare ID - Type Unspecified
VA104078OtherANTHEM
VA1750452827OtherVA MEDICAID