Provider Demographics
NPI:1346245230
Name:MORSE, MICHAEL JOEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOEL
Last Name:MORSE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:JOEL
Other - Middle Name:M
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:3301 NEW MEXICO AVE NW
Mailing Address - Street 2:STE 228
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3610
Mailing Address - Country:US
Mailing Address - Phone:202-966-4811
Mailing Address - Fax:202-686-0932
Practice Address - Street 1:3301 NEW MEXICO AVE NW
Practice Address - Street 2:STE 228
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3610
Practice Address - Country:US
Practice Address - Phone:202-966-4811
Practice Address - Fax:202-686-0932
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC510213ES0103X
MD1047213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCBM2085137OtherDEA NUMBER
DC680116Medicare ID - Type Unspecified
DC1227530001Medicare NSC
DCU19378Medicare UPIN