Maureen Patricia Murray, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA-13518-NP Issued in OH

Practice address

7580 Auburn Rd
Concord TWP, OH 44077-9615

Phone

(440) 358-1116

Fax

(440) 350-3855

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: murray.maureen.010.0350028@ipss.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ips ASC, LLC

  dba Gemini Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
  • NPI 1518379205
  Medicare reassignment NPD
• Ips ASC, LLC

  dba Gemini Surgery Center

  • Interventional Pain Medicine Physician
  • Columbus, OH
  • NPI 1891229795
  NPD (past)
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Madison, OH
  • NPI 1134189376
  NPD (past)
• Lake Hospital System, Inc

  dba Lake Health Urgent Care and Walk In Clinic

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1063761955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-358-1116",
            "fax_number": "440-350-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-358-1116",
            "fax_number": "440-350-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MAUREEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA-13518-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Miller, LISW-S SUPV
• Judy Mindzora
• Daniel Christopher Modarelli, DO
• Razieh Mohseni, MD
• Debra Monahan
• Marwan G Nasif, MD
• Mark Warren Nelson, D.O.
• William David Nelson Sr., DDS
• Melissa Noeyack, LPN
• Northern Ohio Medical Specialists, LLC

• Adult Health Nurse Practitioner in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.