THAYER JOHN MORTON
NPI 1114668241
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 05, 2022PECOS Enrolled
2799 WEST GRAND BLVD, CFP-258, DETROIT, MI 48202(313) 916-1553(313) 916-7437 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thayer John Morton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THAYER JOHN MORTON (NPI 1114668241) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114668241
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHAYER JOHN MORTON
Location Address2799 WEST GRAND BLVD, CFP-258Detroit, MI 48202
Mailing Address2799 West Grand Blvd, Cfp-258Detroit, MI 48202 · (313) 916-1553 · Fax (313) 916-7437
Fax(313) 916-7437
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
NPI 1114668241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2799 WEST GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thayer John Morton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2799 WEST GRAND BLVD, HFHS CLINIC BLDG K 15 A 1549 A
DETROIT, MI 48202
Pathology (Anatomic Pathology & Clinical Pathology)
2799 WEST GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 WEST GRAND BLVD, SUITE K17
DETROIT, MI 48202
Surgery (Surgical Critical Care)
2799 WEST GRAND BLVD, CFP-123
DETROIT, MI 48202
Student in an Organized Health Care Education/Training Program
2799 WEST GRAND BLVD
DETROIT, MI 48202
Internal Medicine
2799 WEST GRAND BLVD, ATTENTION:L K17, PULMONARY AND CRITICAL CARE MEDICINE
DETROIT, MI 48202
General Acute Care Hospital
2799 WEST GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 WEST GRAND BLVD, HENRY FORD HOSPITAL
DETROIT, MI 48202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thayer Morton's NPI number?

The NPI number for Thayer Morton is 1114668241. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Thayer Morton located?

Thayer Morton practices at 2799 West Grand Blvd Cfp-258, Detroit, MI 48202. The listed phone number is (313) 916-1553.

What is Thayer Morton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thayer Morton enrolled in Medicare?

Yes. Thayer Morton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thayer Morton was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.