Organization Active NPI

Murthy S Madhira MD PC

  • Specialist
  • Monroe, MI
National Provider Identifier
1053534719
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MM064434 Issued in MI
Legal business name
MURTHY S MADHIRA MD PC
Practice address
1042 N Monroe St
Monroe, MI 48162-3113
Phone
(734) 240-4870
Fax
(734) 240-4872
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Murthy S. Madhira, MD
Title
Owner
Phone
(734) 240-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MM064434 MI Primary

Addresses

Primary practice location

1042 N Monroe St
Monroe, MI 48162-3113

Mailing address

1042 N Monroe St
Monroe, MI 48162-3113
Phone (734) 240-4870

Other names 1

  • Monroe Gastroenterology Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

750 Stewart Rd
#3
Monroe, MI 48162
Phone (734) 240-4870

750 Stewart Rd
Ste 3
Monroe, MI 48162
Phone (734) 240-4870

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1053534719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-4870",
            "fax_number": "734-240-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-4870",
            "fax_number": "734-240-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURTHY S MADHIRA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MADHIRA",
        "authorized_official_first_name": "MURTHY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-240-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "MM064434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Gastroenterology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.