Individual provider Active NPI

Michelle Morouse, M.D.

  • Specialist
  • Birmingham, MI
National Provider Identifier
1508944703
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MM405270 Issued in MI
Practice address
2055 E 14 Mile Rd
Ste 120
Birmingham, MI 48009-7256
Phone
(248) 645-1740
Fax
(248) 645-5304
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MM405270 MI Primary

Addresses

Primary practice location

2055 E 14 Mile Rd
Ste 120
Birmingham, MI 48009-7256

Mailing address

2055 E 14 Mile Rd
Ste 120
Birmingham, MI 48009-7256
Phone (248) 645-1740

Other identifiers 1

IdentifierTypeStateIssuer
MM405270OtherMISTATE LIC NUMBER

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MM405270MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Pediatrics PC Past Accepting new patients
St Joseph Mercy Hospital-SMHC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508944703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E 14 MILE RD",
            "address_2": "STE 120",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097256",
            "telephone_number": "248-645-1740",
            "fax_number": "248-645-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E 14 MILE RD",
            "address_2": "STE 120",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097256",
            "telephone_number": "248-645-1740",
            "fax_number": "248-645-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROUSE",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "MM405270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC NUMBER",
            "identifier": "MM405270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.