Provider Demographics
NPI:1144364076
Name:MORGOS, SAMUEL ALBERT (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ALBERT
Last Name:MORGOS
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 1:375 ALBRIGHT MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9412
Mailing Address - Country:US
Mailing Address - Phone:502-974-0030
Mailing Address - Fax:
Practice Address - Street 1:272 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9031
Practice Address - Country:US
Practice Address - Phone:740-779-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.123220207L00000X
KY40897207L00000X
IN01073761A207L00000X
FLME93031207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100039060Medicaid
IN200898220AMedicaid
IN200898220AMedicaid
I35269Medicare UPIN
KY7100039060Medicaid