Mt Morris Medical Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MT MORRIS MEDICAL GROUP PLLC

Practice address

8434 N Saginaw Rd
Mount Morris, MI 48458-1190

Phone

(810) 234-1651

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad Abdel-Halim, M.D.

Title

Partner

Phone

(810) 234-1651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14581/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamad L Alasbahi, MD

  • Internal Medicine Physician
  • Mount Morris, MI
  • NPI 1437352994
  Medicare reassignment
• Megan E Fondren, PA-C

  • Physician Assistant
  • Montrose, MI
  • NPI 1528347317
  Medicare reassignment
• Theresa Marie Peter, PA-C

  • Physician Assistant
  • Montrose, MI
  • NPI 1306460076
  Medicare reassignment
• Jennifer Crosby

  • Family Nurse Practitioner
  • Flint, MI
  • NPI 1154778835
  NPD

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1023389244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8434 N SAGINAW RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581190",
            "telephone_number": "810-234-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 N SAGINAW RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581190",
            "telephone_number": "810-234-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT MORRIS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "ABDEL-HALIM",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "810-234-1651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davonna Rochelle Monroe
• Faylena Morris
• Rosie Morris
• Taleah Moye
• Mt Morris Family Medicine LLC
• Mt Morris RX PLLC
• Sheandra Nance
• Sara Jean Nankervis, RN
• Newcombe Chiropractic PLLC
• Ryan Newcombe, DC

• Internal Medicine Physician in Mount Morris, MI
• Providers in Mount Morris, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.