Provider Demographics
NPI:1255338802
Name:MORTON, PATRICIA A (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:MORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6740 PERIMETER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8063
Mailing Address - Country:US
Mailing Address - Phone:614-733-9737
Mailing Address - Fax:614-707-4377
Practice Address - Street 1:6740 PERIMETER DR STE 300
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8063
Practice Address - Country:US
Practice Address - Phone:614-733-9737
Practice Address - Fax:614-707-4377
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-05-7173-S2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHST0737464Medicare PIN