Provider Demographics
NPI:1780702712
Name:PATRICK J. MORGANTE, MD
Entity type:Organization
Organization Name:PATRICK J. MORGANTE, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORGANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-465-0811
Mailing Address - Street 1:907 38TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-8419
Mailing Address - Country:US
Mailing Address - Phone:828-465-0811
Mailing Address - Fax:828-465-0811
Practice Address - Street 1:907 38TH AVE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-8419
Practice Address - Country:US
Practice Address - Phone:828-465-0811
Practice Address - Fax:828-465-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9801723207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH30519Medicare UPIN