Individual provider Active NPI

Michael Anthony Morrison, M.D

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1124016332
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME51852 Issued in FL
Practice address
4101 NW 4TH St
Ste 109
Plantation, FL 33317-2850
Phone
(954) 792-6900
Fax
(954) 792-0615
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME51852 FL Primary

Addresses

Primary practice location

4101 NW 4TH St
Ste 109
Plantation, FL 33317-2850

Mailing address

4101 NW 4TH St
Ste 109
Plantation, FL 33317-2850
Phone (954) 792-6900

Other identifiers 3

IdentifierTypeStateIssuer
07745OtherFLBLUE CROSS BLUE SHIELD
07745BOtherFLBLUE CROSS BLUE SHIELD
256721100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000795 FL Practitioner - Internal Medicine 6204010440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4101 NW 4TH St
Suite 305
Plantation, FL 33317-2839

4101 NW 4TH St
Suite 305
Plantation, FL 33317-2840
Phone (954) 729-6900

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51852FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Medical Associates PA Internal Medicine CurrentSince Jan 10, 2011 Accepting new patients
Michael a. Morrison M.D, P.a Internal Medicine Past Accepting new patients
Morrison Medical Associates Internal Medicine Past Accepting new patients
Miami Gardens Medical PL Internal Medicine PastSince Aug 27, 2011 Accepting new patients
Michael Morrison MD PA Internal Medicine PastSince Dec 2, 1991 Accepting new patients

Locations

4101 NW 4th St
Ste 305
Plantation, FL 33317
Phone (954) 370-7040

4101 NW 4th St
Ste 109
Plantation, FL 33317
Phone (954) 473-5999

Organizations & group practices 5

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1124016332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "STE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-792-6900",
            "fax_number": "954-792-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "STE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-792-6900",
            "fax_number": "954-792-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07745",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07745B",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256721100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.