NPIMap

Organization Active NPI

Mevelyn Michelle Morse DPM. PC

  • Foot & Ankle Surgery Podiatrist
  • East Haven, CT
National Provider Identifier
1124066576
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000802 Issued in CT
Legal business name
MEVELYN MICHELLE MORSE DPM. PC
Practice address
365 Hemingway Ave
East Haven, CT 06512-2384
Phone
(203) 466-1410
Fax
(203) 466-6410
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Mevelyn Michelle Morse, DPM
Title
Owner
Phone
(203) 466-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000802 CT Primary

Addresses

Primary practice location

365 Hemingway Ave
East Haven, CT 06512-2384

Mailing address

365 Hemingway Ave
East Haven, CT 06512-2384
Phone (203) 466-1410

National Provider Directory

National Provider Directory

Locations

365 Hemingway Ave
East Haven, CT 06512
Phone (203) 466-1410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124066576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HEMINGWAY AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122384",
            "telephone_number": "203-466-1410",
            "fax_number": "203-466-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HEMINGWAY AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122384",
            "telephone_number": "203-466-1410",
            "fax_number": "203-466-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEVELYN MICHELLE MORSE DPM. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "MEVELYN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-466-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.