NPIMap

Organization Active NPI

Morgan Medical Management, PC

  • Certified Registered Nurse Anesthetist
  • Jackson, MI
National Provider Identifier
1386740025
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MORGAN MEDICAL MANAGEMENT, PC
Practice address
2775 Blake Rd
Jackson, MI 49201-8838
Phone
(517) 787-2906
Fax
(517) 787-3039
NPI assigned
Sep 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Clemon Pardales, D.O.NPI 1134250921
Title
President
Phone
(248) 366-9504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary
Anesthesiology Physician 207L00000X NU

Addresses

Primary practice location

2775 Blake Rd
Jackson, MI 49201-8838

Mailing address

PO Box 609
Union Lake, MI 48387-0609
Phone (248) 366-9504

Other identifiers 1

IdentifierTypeStateIssuer
E25632OtherMIHEALTH ALLIANCE PLAN

National Provider Directory

National Provider Directory

Locations

2285 Franklin Rd
Ste 120
Bloomfield Hills, MI 48302
Phone (248) 335-6274

2075 Coolidge Rd
East Lansing, MI 48823
Phone (517) 319-9000

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386740025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "UNION LAKE",
            "state": "MI",
            "postal_code": "483870609",
            "telephone_number": "248-366-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 BLAKE RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018838",
            "telephone_number": "517-787-2906",
            "fax_number": "517-787-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN MEDICAL MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PARDALES",
        "authorized_official_first_name": "CLEMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-366-9504",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "E25632",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.