Basic Information
| Provider Information | |||||||||
| NPI: | 1912908294 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORPHY | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | |||||||||
| OtherFirstName: | |||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 3045 MARIETTA AVE | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176011321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178982900 | ||||||||
| FaxNumber: | 7178989205 | ||||||||
| Practice Location | |||||||||
| Address1: | 3045 MARIETTA AVE | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176011321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172078017 | ||||||||
| FaxNumber: | 7176908826 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 01/26/2021 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 01/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD042820L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 9102198 | 01 | MD | CIGNA PIN | OTHER | P16341 | 01 | MD | CAREFIRST MPOS | OTHER | 021371 | 01 | MD | JHHC PROVIDER NUMBER | OTHER | 7605-0066 | 01 | MD | CAREFIRST BLUECHOICE | OTHER | 8125496 | 01 | MD | MAMSI PRIMARY CARE | OTHER | D0054890 | 01 | MD | MHIP PROVIDER ID | OTHER | 01-06724 | 01 | MD | UHC PROVIDER NUMBER | OTHER | 2534837 | 01 | MD | AETNA CAPITATED | OTHER | 610436-02 | 01 | MD | CAREFIRST MD RENDERING | OTHER | 615502200 | 05 | MD | MEDICAID | 2125496 | 01 | MD | MAMSI SPECIALIST | OTHER | 7082015 | 01 | MD | AETNA FEE FOR SERVICE | OTHER |