Individual provider Active NPI

Morris Anglo McQueen

  • Non-emergency Medical Transport (VAN)
  • Bloomfield Hills, MI
National Provider Identifier
1548797079
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
M756194 Issued in MI
Practice address
3574 Wabeek Lake Dr W
Bloomfield Hills, MI 48302-1271
Phone
(248) 396-8047
Fax
(248) 745-1627
NPI assigned
May 15, 2017
Last updated
May 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X M756194 MI Primary

Addresses

Primary practice location

3574 Wabeek Lake Dr W
Bloomfield Hills, MI 48302-1271

Mailing address

3574 Wabeek Lake Dr W
Bloomfield Hills, MI 48302-1271
Phone (248) 396-8047

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

State licenses

LicenseStateTypeSpecialty
M756194MIMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1548797079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 WABEEK LAKE DR W",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021271",
            "telephone_number": "248-396-8047",
            "fax_number": "248-745-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3574 WABEEK LAKE DR W",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021271",
            "telephone_number": "248-396-8047",
            "fax_number": "248-745-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MORRIS",
        "middle_name": "ANGLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "M756194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.