Individual provider Active NPI

Dawn Elaine Morey, DO

  • Surgery Physician
  • Port Huron, MI
National Provider Identifier
1003925033
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101011284 Issued in MI
Practice address
2609 Electric Ave
Ste B
Port Huron, MI 48060-6589
Phone
(810) 985-1148
Fax
(810) 985-1149
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101011284 MI Primary

Addresses

Primary practice location

2609 Electric Ave
Ste B
Port Huron, MI 48060-6589

Mailing address

PO Box 610669
Port Huron, MI 48061-0669
Phone (810) 985-1884

Other identifiers 1

IdentifierTypeStateIssuer
4844446MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000585 MI Practitioner - General Surgery 2062428485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port Huron Physicians Medical Group PCGroup PAC ID 0840507802, 9 clinicians

Practice addresses (Care Compare)

2609 Electric Ave B
Lake Huron Med GRP
Port Huron, MI 48060-6589
Phone (810) 984-1148

Hospital & facility affiliations

  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy40
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101011284MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Huron Physicians Medical Group PC Surgery CurrentSince Sep 1, 2015 Accepting new patients

Locations

4190 24th Ave
Ste 208
Fort Gratiot, MI 48059
Phone (810) 216-4000

2609 Electric Ave
Ste C
Port Huron, MI 48060
Phone (810) 216-1148

2609 Electric Ave
Ste B
Port Huron, MI 48060
Phone (810) 984-1148

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1003925033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610669",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480610669",
            "telephone_number": "810-985-1884",
            "fax_number": "810-966-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 ELECTRIC AVE",
            "address_2": "STE B",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606589",
            "telephone_number": "810-985-1148",
            "fax_number": "810-985-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREY",
        "first_name": "DAWN",
        "middle_name": "ELAINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101011284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4844446",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.