NPIMap

Individual provider Active NPI

Thea Murray, MD

  • Surgery Physician
  • Charleston, WV
National Provider Identifier
1073041141
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME169162 Issued in FL
Practice address
1220 Lee St E Ste 208
Charleston, WV 25301-1864
Phone
(304) 388-7270
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN36590 FL
Surgery Physician 208600000X ME169162 FL Primary

Addresses

Primary practice location

1220 Lee St E Ste 208
Charleston, WV 25301-1864

Mailing address

1220 Lee St E Ste 208
Charleston, WV 25301-1864
Phone (304) 388-7270

Other practice location 1

653 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 383-1015

Other practice location 2

3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Other practice location 3

800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432

Other practice location 4

501 Morris St # A
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 5

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700

Other practice location 6

157 Skylar Dr
Lewisburg, WV 24901-9359
Phone (304) 793-2059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240730002968 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 4284904038 Reassigns benefits to 1 organization
I20250602003244 WV Practitioner - General Surgery 4284904038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1220 Lee St E
Charleston, WV 25301-1863
Phone (304) 388-7270

157 Skylar Dr
Lewisburg, WV 24901-9359
Phone (304) 645-0870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME169162FLMDSurgery Physician
TRN36590FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Mar 14, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Jun 22, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 22, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Surgery CurrentSince Jul 22, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Mar 14, 2025 Accepting new patients
Camc Greenbrier Valley Medical Center Inc Surgery CurrentSince Jun 22, 2025 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1220 Lee St E
Ste 208
Charleston, WV 25301
Phone (304) 388-7270

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
#A
Charleston, WV 25301

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

157 Skylar Dr
Lewisburg, WV 24901
Phone (304) 647-2030

1521 Maplewood Ave
Ronceverte, WV 24970

Organizations & group practices 9

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1073041141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LEE ST E STE 208",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011864",
            "telephone_number": "304-388-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LEE ST E STE 208",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011864",
            "telephone_number": "304-388-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-383-1015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023351",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St # A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255269202",
            "country_code": "US",
            "telephone_number": "304-757-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Skylar Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019359",
            "country_code": "US",
            "telephone_number": "304-793-2059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "THEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN36590",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME169162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.