Provider Demographics
NPI:1457898488
Name:MORPHEUS PARTNERSHIP,INC
Entity Type:Organization
Organization Name:MORPHEUS PARTNERSHIP,INC
Other - Org Name:MORPHEUS MEMBERS,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE ANESTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNATHAN
Authorized Official - Middle Name:GEOFFREY
Authorized Official - Last Name:WARBURG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:314-308-5726
Mailing Address - Street 1:6122 TERRI LYNN DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-1678
Mailing Address - Country:US
Mailing Address - Phone:314-352-3997
Mailing Address - Fax:314-352-3997
Practice Address - Street 1:6122 TERRI LYNN DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-1678
Practice Address - Country:US
Practice Address - Phone:314-308-5726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORPHEUS MEMBERS,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-29
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO138199282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital