MORGAN MEDICAL MANAGEMENT, PC
NPI 1386740025
Nurse Anesthetist, Certified Registered in Jackson, MI

Active since September 16, 2006
2775 BLAKE RD, JACKSON, MI 49201(517) 787-2906(517) 787-3039 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Nurse Anesthetist, Certified Registered

About MORGAN MEDICAL MANAGEMENT, PC

This page provides the complete NPI Profile along with additional information for Morgan Medical Management, Pc, a provider established in Jackson, Michigan operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1386740025 assigned on September 2006. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Clemon Pardales D.o. (President)

NPI
1386740025 Verify this NPI
Provider Name
MORGAN MEDICAL MANAGEMENT, PC
Entity Type
Organization
Location Address
2775 BLAKE RD JACKSON, MI 49201
Location Phone
(517) 787-2906
Location Fax
(517) 787-3039
Mailing Address
PO BOX 609 UNION LAKE, MI 48387
Mailing Phone
(248) 366-9504
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2006
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLEMON PARDALES D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 366-9504

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E25632OTHER (01)MIHEALTH ALLIANCE PLAN

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Anesthesiology
2775 BLAKE RD
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386740025, enumerated as an "organization" on September 16, 2006.

The provider is located at 2775 BLAKE RD JACKSON, MI 49201 and the phone number is (517) 787-2906.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.