Provider Demographics
NPI:1467419689
Name:MORGAN, SCOTT DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DAVID
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:814-333-5000
Mailing Address - Fax:
Practice Address - Street 1:551 GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-5019
Practice Address - Country:US
Practice Address - Phone:724-662-4155
Practice Address - Fax:724-662-2352
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056727L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000205853OtherANTHEM BC & BS
80145725OtherRR MEDICARE GR#CI5033
WV9801922000Medicaid
PA1041822OtherGATEWAY--GROUP #
OH2296840Medicaid
PA231928OtherHEALTH AMERICA/HEALTH ASSURANCE - GRP NUMBER
PA5766199OtherAETNA PPO GR. 7607539
PA729459OtherHIGHMARK--GRP #855908
PA0015714610005Medicaid
PA0015714610006Medicaid
PA000000064446OtherUNISON/MEDPLUS/3 RIVERS
PA3340402OtherAETNA HMO GR. 3398287
PA0015714610006Medicaid
PA0015714610005Medicaid