Basic Information
| Provider Information | |||||||||
| NPI: | 1467419689 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORGAN | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 699 E STATE ST | ||||||||
| Address2: | SHARON REGIONAL HEALTH SYSTEM | ||||||||
| City: | SHARON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161462057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249833817 | ||||||||
| FaxNumber: | 7249833941 | ||||||||
| Practice Location | |||||||||
| Address1: | 551 GREENVILLE RD | ||||||||
| Address2: | SRHS MERCER FAMILY MEDICINE CTR | ||||||||
| City: | MERCER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161375019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246624155 | ||||||||
| FaxNumber: | 7246622352 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2006 | ||||||||
| LastUpdateDate: | 07/15/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD056727L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 000000205853 | 01 | OH | ANTHEM BC & BS | OTHER | 0015714610006 | 05 | PA | MEDICAID | 0015714610005 | 05 | PA | MEDICAID | 2296840 | 05 | OH | MEDICAID | 9801922000 | 05 | WV | MEDICAID | 000000064446 | 01 | PA | UNISON/MEDPLUS/3 RIVERS | OTHER | 80145725 | 01 | RR MEDICARE GR#CI5033 | OTHER | 1041822 | 01 | PA | GATEWAY--GROUP # | OTHER | 5766199 | 01 | PA | AETNA PPO GR. 7607539 | OTHER | 231928 | 01 | PA | HEALTH AMERICA/HEALTH ASSURANCE - GRP NUMBER | OTHER | 3340402 | 01 | PA | AETNA HMO GR. 3398287 | OTHER | 729459 | 01 | PA | HIGHMARK--GRP #855908 | OTHER |