Provider Demographics
NPI:1316105018
Name:MORRIS, JOSHUA CHARLES (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHARLES
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 NAVARRE AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3429
Mailing Address - Country:US
Mailing Address - Phone:419-691-1599
Mailing Address - Fax:419-691-1622
Practice Address - Street 1:3515 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3429
Practice Address - Country:US
Practice Address - Phone:419-691-1599
Practice Address - Fax:419-691-1622
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH003561213ES0103X
MIL1926113213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6579090001Medicare NSC