Provider Demographics
NPI:1013964493
Name:MORGAN, CHAD J (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9434
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65801-9434
Mailing Address - Country:US
Mailing Address - Phone:417-885-3888
Mailing Address - Fax:417-881-7638
Practice Address - Street 1:3801 S NATIONAL AVE
Practice Address - Street 2:WEST TOWER, SUITE 700
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5210
Practice Address - Country:US
Practice Address - Phone:417-885-3888
Practice Address - Fax:417-881-7638
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-4936207T00000X
MO2006005747207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2561113OtherCOX HEALTH PLANS UPI
AR5H031OtherARKANSAS BC/BS
MO209237OtherBLUE CROSS / CHOICE
MO0600288OtherUNITED HEALTHCARE
MO4188130001OtherCIGNA MEDICARE
AR5H031OtherARKANSAS HEALTH ADVANTAGE
WA0215051OtherDEPARTMENT OF LABOR WA
MO6874728001OtherCIGNA HEALTHCARE
MO776447OtherHEALTHLINK
AR166615001Medicaid
MO201503307Medicaid
AR5H031OtherARKANSAS FIRST SOURCE
MO201503307Medicaid
MO939284258Medicare PIN
MO776447OtherHEALTHLINK
MO2561113OtherCOX HEALTH PLANS UPI
AR5H031OtherARKANSAS FIRST SOURCE
WA0215051OtherDEPARTMENT OF LABOR WA
AR5H031OtherARKANSAS HEALTH ADVANTAGE
AR5H031Medicare PIN