Provider Demographics
NPI:1427055847
Name:MORROW, ERIC C (PA-C)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:C
Last Name:MORROW
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:859-276-5262
Mailing Address - Fax:859-277-6509
Practice Address - Street 1:160 N EAGLE CREEK DR STE 303
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2124
Practice Address - Country:US
Practice Address - Phone:859-276-5262
Practice Address - Fax:859-277-6509
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA672363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY95002267Medicaid
KYCJ2601OtherRAILROAD MEDICARE
KYCN8331OtherRAILROAD MEDICARE
KYCF7805OtherRAILROAD MEDICARE
KY9500226700Medicaid
KYP00253643Medicare PIN
KYCJ2601OtherRAILROAD MEDICARE
KYP48162Medicare UPIN