Basic Information
| Provider Information | |||||||||
| NPI: | 1144364076 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORGOS | ||||||||
| FirstName: | SAMUEL | ||||||||
| MiddleName: | ALBERT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 375 ALBRIGHT MILL RD | ||||||||
| Address2: | |||||||||
| City: | CHILLICOTHE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456019412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5029740030 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 272 HOSPITAL RD | ||||||||
| Address2: | |||||||||
| City: | CHILLICOTHE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456019031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407797500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/16/2007 | ||||||||
| LastUpdateDate: | 01/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 35.123220 | OH | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 40897 | KY | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 01073761A | IN | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | ME93031 | FL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 7100039060 | 05 | KY | MEDICAID | 200898220A | 05 | IN | MEDICAID |