Provider Demographics
NPI:1265437263
Name:MORGAN, CRAIG MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:MICHAEL
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 1:1611 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3811
Mailing Address - Country:US
Mailing Address - Phone:304-522-6500
Mailing Address - Fax:
Practice Address - Street 1:1611 13TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3811
Practice Address - Country:US
Practice Address - Phone:304-522-6500
Practice Address - Fax:304-522-1353
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV15269207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0094952000Medicaid
OH0698526Medicaid
KY64697162Medicaid
OH0698526Medicaid
WV0094952000Medicaid