Active NPI
John Murphy DPM, LLC
- Foot Surgery Podiatrist
- Ellicott City, MD
National Provider Identifier
1003014192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- P0002786
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134302500 | Medicaid | MD |
Other names 1
- MARYLAND PODIATRY CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.