Organization Active NPI

Morris E. Gales III MD

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1477603587
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301049444 Issued in MI
Legal business name
MORRIS E. GALES III MD
Doing business as
Wound Care Services
Practice address
29556 Southfield Rd
Suite 200
Southfield, MI 48076-2021
Phone
(248) 423-1550
Fax
(248) 423-1552
NPI assigned
Jan 11, 2007
Reactivated
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. Morris Edward Gales III, MD,FCCWSNPI 1538160908
Title
President
Phone
(248) 423-1550

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 4301049444 MI Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 4704114991 MI
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 4704207635 MI

Addresses

Primary practice location

29556 Southfield Rd
Suite 200
Southfield, MI 48076-2021

Mailing address

29556 Southfield Rd
Suite 200
Southfield, MI 48076-2021
Phone (248) 423-1550

Other names 1

  • Wound Care Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1477603587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29556 SOUTHFIELD RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762021",
            "telephone_number": "248-423-1550",
            "fax_number": "248-423-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29556 SOUTHFIELD RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762021",
            "telephone_number": "248-423-1550",
            "fax_number": "248-423-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS E. GALES III MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-02-26",
        "deactivation_date": "2008-11-11",
        "reactivation_date": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "GALES",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-423-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD,FCCWS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301049444",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704114991",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704207635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.