Charlene Elston Morgan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

99 Issued in DC

Practice address

610 Professional Dr
Suite 255
Gaithersburg, MD 20879-3413

Phone

(240) 683-6202

Fax

(240) 683-6202

NPI assigned

Apr 3, 2007

Last updated

Apr 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1548381965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13339 POINT RIDER LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713813",
            "telephone_number": "703-709-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "SUITE 255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793413",
            "telephone_number": "240-683-6202",
            "fax_number": "240-683-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHARLENE",
        "middle_name": "ELSTON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "99",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqua Moore
• Yazmine Moore
• Carlos Mora, LMSW
• Bianca Rosa Morales
• Tempestt Morales
• Juddy Morgan, CRNP
• Laura Melissa Morgan
• Lauren M Morgan, LCSW-C
• Susan Morita, LMSW
• Gina Lynn Moritz

• Medical Physician Assistant in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.