Provider Demographics
NPI:1841231909
Name:MORSE, MEVELYN MICHELLE (DPM)
Entity type:Individual
Prefix:DR
First Name:MEVELYN
Middle Name:MICHELLE
Last Name:MORSE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 HEMINGWAY AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-2384
Mailing Address - Country:US
Mailing Address - Phone:203-466-1410
Mailing Address - Fax:203-466-6410
Practice Address - Street 1:365 HEMINGWAY AVE
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-2384
Practice Address - Country:US
Practice Address - Phone:203-466-1410
Practice Address - Fax:203-466-6410
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000802213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT030000802.CT01OtherANTHEM BCBS PROVIDER ID #
CT2V7079OtherPHS PROVIDER ID #
CT3820734OtherAETNA PROVIDER ID #
CT5732109OtherCIGNA PROVIDER ID #
CTP00236321OtherRR MEDICARE PROVIDER ID #
CTP3647484OtherOXFORD HEALTHPLANS PROVID
CTP3647484OtherOXFORD HEALTHPLANS PROVID
CT5732109OtherCIGNA PROVIDER ID #
CT0719140001Medicare NSC