Basic Information
| Provider Information | |||||||||
| NPI: | 1619943305 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORRIS | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 988102 NEBRASKA MEDICAL CTR | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681988102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025599800 | ||||||||
| FaxNumber: | 4025593434 | ||||||||
| Practice Location | |||||||||
| Address1: | 988102 NEBRASKA MEDICAL CTR | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681988102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025599800 | ||||||||
| FaxNumber: | 4025593434 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2006 | ||||||||
| LastUpdateDate: | 07/02/2012 | ||||||||
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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 | 204F00000X | 24577 | NE | Y | Allopathic & Osteopathic Physicians | Transplant Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0552638 | 05 | IA | MEDICAID | 1578845 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 235560 | 01 | SD | MIDLANDS CHOICE | OTHER | 4995 | 01 | SD | DAKOTACARE | OTHER | 34633 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 46022474346 | 05 | NE | MEDICAID | 50M73MO | 01 | MN | BLUE CROSS | OTHER | 7301810 | 05 | SD | MEDICAID | 770002985 | 01 | SD | RR MEDICARE | OTHER | 412871030205 | 01 | SD | PREFERRED ONE | OTHER | 114461 | 01 | MN | UCARE | OTHER | 12976 | 05 | ND | MEDICAID | 1700726 | 01 | SD | MEDICA | OTHER | 57105R002 | 01 | SD | WPS TRICARE | OTHER | 370624200 | 01 | SD | DEPT OF LABOR | OTHER | HP37133 | 01 | SD | HEALTHPARTNERS | OTHER | 0040029 | 01 | SD | BLUE CROSS | OTHER | 424737000 | 05 | MN | MEDICAID | 50M73MO | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER |