Amanda V Morgan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004617 Issued in MI

Practice address

551 Linn St
Allegan, MI 49010-1595

Phone

(269) 686-5800

Fax

(269) 686-5896

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Allegan Professional Health Services Inc

  • Multi-Specialty Clinic/Center
  • Allegan, MI
  • NPI 1134281223
  NPD
• Specialized Family Chiropractic PC

  • Nutrition Chiropractor
  • Portage, MI
  • NPI 1881854164
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1649375098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 OAKLAND DR",
            "address_2": "STE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241116",
            "telephone_number": "269-323-4473",
            "fax_number": "269-324-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "AMANDA",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q74553",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700H060020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherri M Miner
• Rian David Mintek, M.D.
• Monarch Services, LLC
• Ryan David Moore, R.PH., M.B.A.
• Cathy Moored
• Roberta Morrie
• David Lee Morse, LMSW
• Abigail Rose Mosher
• Anton Soulinh Moungkhoun
• John Mulder, PAC

• Physician Assistant in Allegan, MI
• Providers in Allegan, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.