Individual provider Active NPI

Michael Roland Murphy, D.O.

  • Family Medicine Physician
  • Deming, NM
National Provider Identifier
1073511663
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A1278-04 Issued in NM
Practice address
1110 W Florida St
Deming, NM 88030-4908
Phone
(575) 544-0843
Fax
(575) 544-0849
NPI assigned
Jul 8, 2005
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A1278-04 NM Primary

Addresses

Primary practice location

1110 W Florida St
Deming, NM 88030-4908

Mailing address

1110 W Florida St
Deming, NM 88030-4908
Phone (575) 544-0843

Other identifiers 1

IdentifierTypeStateIssuer
98133331MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027001094 NM Practitioner - Family Practice 1951363464 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A1278-04NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deming Hospital Corporation Current Accepting new patients
Deming Hospital Corporation CurrentSince Dec 30, 2018 Accepting new patients
Deming Hospital Corporation CurrentSince Dec 30, 2018 Accepting new patients
Maria Elena Falcon, M.D., P.a. Past Accepting new patients
Pace Management, Inc. PastSince Sep 1, 2006 Accepting new patients

Locations

905 S 8th St
Deming, NM 88030
Phone (575) 543-7200

905 S 8th St
Ste B
Deming, NM 88030
Phone (575) 543-7200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1073511663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W FLORIDA ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304908",
            "telephone_number": "575-544-0843",
            "fax_number": "575-544-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W FLORIDA ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304908",
            "telephone_number": "575-544-0843",
            "fax_number": "575-544-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MICHAEL",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A1278-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98133331",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.