Organization Active NPI

John Murphy DPM, LLC

  • Foot Surgery Podiatrist
  • Ellicott City, MD
National Provider Identifier
1003014192
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
P0002786 Issued in MD
Legal business name
JOHN MURPHY DPM, LLC
Practice address
3460 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4173
Phone
(410) 992-8504
Fax
(410) 992-8509
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dorothy Murphy
Title
Office Manager
Phone
(410) 992-8504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X P0002786 MD Primary

Addresses

Primary practice location

3460 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4173

Mailing address

3460 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4173
Phone (410) 992-8504

Other identifiers 1

IdentifierTypeStateIssuer
134302500MedicaidMD

Other names 1

  • MARYLAND PODIATRY CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040916000282 MD Part B Supplier - Clinic/Group Practice 6709853989 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD
O20100930046123 MD DME Supplier - Physician - Podiatry 6709853989 Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

3100 Wyman Park Dr
Ste 180
Baltimore, MD 21211
Phone (410) 244-1454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1003014192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 ELLICOTT CENTER DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434173",
            "telephone_number": "410-992-8504",
            "fax_number": "410-992-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 ELLICOTT CENTER DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434173",
            "telephone_number": "410-992-8504",
            "fax_number": "410-992-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MURPHY DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-992-8504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "P0002786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134302500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYLAND PODIATRY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.