NPIMap

Individual provider Active NPI

Morgan Marie Monahan

  • Physician Assistant
  • Tecumseh, MI
National Provider Identifier
1093356396
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010006 Issued in MI
Practice address
501 E Chicago Blvd
Tecumseh, MI 49286-1515
Phone
(313) 948-3055
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006440RX OH
Student in an Organized Health Care Education/Training Program 390200000X OH
Physician Assistant 363A00000X 5601010006 MI Primary

Addresses

Primary practice location

501 E Chicago Blvd
Tecumseh, MI 49286-1515

Mailing address

506 Hickory Ridge Dr
Tecumseh, MI 49286-1082
Phone (517) 759-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200909002956 MI Practitioner - Physician Assistant 4587082425 Reassigns benefits to 5 organizations
I20250602002534 OH Practitioner - Physician Assistant 4587082425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tecumseh Urgent Care and Walk in Clinic PCGroup PAC ID 3274959341, 5 clinicians

Practice addresses (Care Compare)

501 E Chicago Blvd
Tecumseh, MI 49286-1515
Phone (517) 662-3144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601010006MIMDPhysician Assistant
50.006440RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
The Toledo Hospital Current Accepting new patients
The Toledo Hospital CurrentSince Sep 1, 2025 Accepting new patients
The Toledo Hospital CurrentSince Sep 1, 2025 Accepting new patients
Battle Creek Urgent Care Walk in Clinic PC Past Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 11

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 2

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1093356396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HICKORY RIDGE DR",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861082",
            "telephone_number": "517-759-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CHICAGO BLVD",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861515",
            "telephone_number": "313-948-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "MORGAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006440RX",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.