Active NPI
Michelle Denise Morgan, D.O.
- Family Medicine Physician
- Lecanto, FL
National Provider Identifier
1083712665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS12639
- Practice address
- 2804 W Marc Knighton CT
Suite a
Lecanto, FL 34461-6300 - Phone
- (352) 746-8000
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO945 | AL | |
| Family Medicine Physician | 207Q00000X | 051694 | GA | |
| Family Medicine Physician | 207Q00000X | 197975 | NY | |
| Family Medicine Physician | 207Q00000X | OS12639 | FL | Primary |
Addresses
Primary practice location
2804 W Marc Knighton CT
Suite a
Lecanto, FL 34461-6300
Mailing address
13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone (727) 869-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01678404 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Heart Center, PA | Current | Accepting new patients | |
| Premium Medical Care,LLC | Past | Accepting new patients | |
| New York Family Medicine Associates, P.C. | Family Medicine | Past | Accepting new patients |
Locations
1040 SW 2nd Ave
Ocala, FL 34471
Phone (352) 732-3005
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61565
Organizations & group practices 3
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.
-
- Specialist
- Ocala, FL
- NPI 1356335574
-
- Family Medicine Physician
- Bronx, NY
- NPI 1902989312
-
- Legal Medicine
- Atlanta, GA
- NPI 1700974631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083712665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124745",
"telephone_number": "727-869-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 W MARC KNIGHTON CT",
"address_2": "SUITE A",
"city": "LECANTO",
"state": "FL",
"postal_code": "344616300",
"telephone_number": "352-746-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO945",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "051694",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "197975",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS12639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01678404",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.