Basic Information
| Provider Information | |||||||||
| NPI: | 1538401211 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SMITH | ||||||||
| FirstName: | MORGAN | ||||||||
| MiddleName: | RYDER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10500 MONTGOMERY ROAD | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442234402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138652246 | ||||||||
| FaxNumber: | 5138655596 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 23RD ST | ||||||||
| Address2: | |||||||||
| City: | CUYAHOGA FALLS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442231404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309717684 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2013 | ||||||||
| LastUpdateDate: | 06/16/2017 | ||||||||
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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 | 207R00000X | 00000000000 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 34011849 | OH | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.