COLLEEN BRIDGET MORRISON (NPI# 1437306552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437306552 |
| Entity Type | Individual |
| Full Name | COLLEEN BRIDGET MORRISON |
| Credential | M.D. |
| Practice Address |
615 N Michigan St 6 East South Bend IN 46601-1033 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746476892 |
| Practice Fax Number | 5746476895 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01068867A | IN | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
01068867A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201001530 | 05 | |
| IN | BCBS MEMORIAL CHILDREN'S HOSPITAL | 000000684981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841691136 | Colleen Morrison | Physician Assistant | 1610 Clarendon Ave, Lakeland, FL 33803-2506 | 2014-09-06 |
| 1063512762 | Colleen Ruth Morrison | Specialist | 3717 California Ave Sw, #102b, Seattle, WA 98116-3743 | 2006-09-22 |
| 1952328791 | Colleen Cameron Morrison | Physician Assistant | 1602 Westover Dr, Sanford, NC 27330-7026 | 2006-07-17 |
| 1558517755 | Colleen Jonelle Morrison | Counselor | 3188 Airway Ave, Unit F, Costa Mesa, CA 92626-4652 | 2008-08-07 |
| Street Address |
615 N MICHIGAN ST 6 EAST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1265048078 | Sarah Ellen Pritt | Technician | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-09-17 |
| 1740803238 | Taylor Reinhardt | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-05-19 |
| 1720613268 | Jennifer Lynn Boyd | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-05 |
| 1104451798 | Ryan Lipinski | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-03-04 |
| 1669007241 | Alexandra Rain Ross | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-04 |
| 1538717848 | Emily Mastelou-page | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2019-08-29 |
| 1477021038 | Ashlee Dennise Swafford | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-11-12 |
| 1487132114 | South Bend Emergency Physicians, Inc | Emergency Medicine | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-08-03 |
| 1962993386 | Gail Gronek Weismann | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477896348 | Stacy L Snyder | Pediatrics | 615 N Michigan St Fl 4, South Bend, IN 46601-1033 | 2013-03-29 |
| 1821288333 | Tracy Ann Haertling | Pediatrics | 615 N Michigan St, 6 East, South Bend, IN 46601-1033 | 2007-07-31 |
| 1992756696 | Beacon Medical Group, Inc. | Pediatrics | 615 N Michigan St, 4th Floor, South Bend, IN 46601 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881983625 | Jacquelyn Leigh Carter | Pediatrics | 705 Riley Hospital Dr Rm 4340, Indianapolis, IN 46202-5109 | 2011-04-01 |
| 1487692794 | John Randall Edwards | Pediatrics | 8111 S Emerson Ave Ste 207, Indianapolis, IN 46237-8601 | 2006-06-02 |
| 1124021829 | Bassem I Razzouk | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2005-05-27 |
| 1275950438 | Jennifer Belsky | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2014-03-26 |
| 1942542253 | April Rahrig | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2013-03-25 |
| 1316205891 | Alex Herbert Lion | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202 | 2012-05-02 |
| 1396003273 | Daniel Vincent Runco | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-27 |
| 1730447038 | Cristiana Hentea | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2012-04-25 |
| 1891052171 | Miriam Grace Kim | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-11 |
| 1205192408 | Rachael Rae Schulte | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.