Active NPI
Diane L Morris, M.D.
- Internal Medicine Physician
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301056437
- Practice address
- 1255 N. Oakland
Waterford, MI 48327-2100 - Phone
- (248) 406-0090
- Fax
- (248) 406-0107
- NPI assigned
- Jul 27, 2006
- Last updated
- Mar 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301056437 | MI | Primary |
Addresses
Primary practice location
1255 N. Oakland
Waterford, MI 48327-2100
Mailing address
1255 N Oakland Blvd
Waterford, MI 48327-1545
Phone (248) 406-0090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F37128015 | Other | MI | MEDICARE ID |
| 3487106 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301056437 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Programs Inc. | Current | Accepting new patients | |
| Community Programs, Inc. | Current | Accepting new patients | |
| Community Programs, Inc. | Past | Accepting new patients |
Locations
1289 S Linden Rd
Ste D
Flint, MI 48532
Phone (248) 599-8999
G3500 Flushing Rd
Ste 200
Flint, MI 48504
Phone (248) 599-8999
91 N Saginaw St
Ste G100
Pontiac, MI 48342
Phone (248) 599-8999
33200 Dequindre Rd
Ste 100
Sterling Heights, MI 48310
Phone (583) 354-1489
1255 N Oakland Blvd
Waterford, MI 48327
Phone (248) 406-0090
1435 N Oakland Blvd
Waterford, MI 48327
Phone (248) 406-0090
269 Summit Dr
Waterford, MI 48328
Phone (248) 599-8999
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Meridian Health Services
- Substance Abuse Rehabilitation Facility
- Waterford, MI
- NPI 1003247362
-
dba Meridian Health Services - Pontiac MAT
- Substance Abuse Rehabilitation Facility
- Waterford, MI
- NPI 1962754929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1164446464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 N OAKLAND BLVD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271545",
"telephone_number": "248-406-0090",
"fax_number": "248-406-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 N. OAKLAND",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483272100",
"telephone_number": "248-406-0090",
"fax_number": "248-406-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "DIANE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301056437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "F37128015",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3487106",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.