Active NPI
Morgan Vitale, PA-C
- Addiction Medicine (Family Medicine) Physician
- Warren, MI
National Provider Identifier
1215569033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 5601009794
- Practice address
- 28477 Hoover Rd
Warren, MI 48093-5400 - Phone
- (586) 250-4040
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 5601009794 | MI | Primary |
Addresses
Primary practice location
28477 Hoover Rd
Warren, MI 48093-5400
Mailing address
28477 Hoover Rd
Warren, MI 48093-5400
Phone (586) 250-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601009794 | MI | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1215569033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28477 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480935400",
"telephone_number": "586-250-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28477 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480935400",
"telephone_number": "586-250-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "MORGAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "MI",
"license": "5601009794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.