Provider Demographics
NPI:1801900956
Name:MORRIS, WILLIAM J (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 GLYN TAWEL DR
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-1508
Mailing Address - Country:US
Mailing Address - Phone:740-587-0154
Mailing Address - Fax:
Practice Address - Street 1:110 N GALWAY DR
Practice Address - Street 2:BUILDING 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.054553207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0734567Medicaid
OH1911070004OtherCIGNA
OH000000012358OtherANTHEM
OH4373084OtherAETNA
OH0734567Medicaid
OH1911070004OtherCIGNA