Active NPI
Kenneth M Morrison, MD
- Orthopaedic Surgery Physician
- Lansing, MI
National Provider Identifier
1730185554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301045099
- Practice address
- 3394 E Jolly Rd
Ste a
Lansing, MI 48910-8595 - Phone
- (517) 394-3200
- Fax
- (517) 394-4250
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301045099 | MI | Primary |
Addresses
Primary practice location
3394 E Jolly Rd
Ste a
Lansing, MI 48910-8595
Mailing address
3394 E Jolly Rd
Ste a
Lansing, MI 48910-8595
Phone (517) 394-3200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KM045099 | Other | MI | BLUE CROSS/BLUE SHHIELD |
| P52714 | Other | MI | BCN |
| 09-00008 | Other | MI | PHP |
| 4385450 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240701000546 | MI | Order and Referring Only - Hospice/Palliative Care | 3173595493 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Lansing, Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Lansing, MI
- NPI 1831170190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1730185554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3394 E JOLLY RD",
"address_2": "STE A",
"city": "LANSING",
"state": "MI",
"postal_code": "489108595",
"telephone_number": "517-394-3200",
"fax_number": "517-394-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3394 E JOLLY RD",
"address_2": "STE A",
"city": "LANSING",
"state": "MI",
"postal_code": "489108595",
"telephone_number": "517-394-3200",
"fax_number": "517-394-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "KENNETH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301045099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHHIELD",
"identifier": "KM045099",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P52714",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "09-00008",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4385450",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.