Provider Demographics
NPI:1821105065
Name:WILLIAM J. MORRIS, M.D., INC.
Entity Type:Organization
Organization Name:WILLIAM J. MORRIS, M.D., INC.
Other - Org Name:WILLIAM J. MORRIS, MD, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-587-4300
Mailing Address - Street 1:110 N GALWAY DR
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-9572
Mailing Address - Country:US
Mailing Address - Phone:740-587-4300
Mailing Address - Fax:740-587-4306
Practice Address - Street 1:110 N GALWAY DR
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-9572
Practice Address - Country:US
Practice Address - Phone:740-587-4300
Practice Address - Fax:740-587-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0925253Medicaid
OH9326001Medicare ID - Type Unspecified