Provider Demographics
NPI:1821010034
Name:MORRIS, JAMES R (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 955
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0955
Mailing Address - Country:US
Mailing Address - Phone:844-332-3834
Mailing Address - Fax:216-595-5381
Practice Address - Street 1:1000 SAINT CHRISTOPHER DR
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7034
Practice Address - Country:US
Practice Address - Phone:606-833-3634
Practice Address - Fax:606-836-9914
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY22225207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0593997Medicaid
KY000000355047OtherANTHEM BLUE CROSS BS
WV0104499000Medicaid
KY50006257OtherPASSPORT MEDICAID
608673400OtherBLACK LUNG PROGRAM
KY64068729Medicaid
608673400OtherUS DEPT OF LABOR
P00196192OtherRAILROAD MEDICARE
OH0593997Medicaid
E19520Medicare UPIN