Individual provider Active NPI

Laurie R Murray, PA

  • Physician Assistant
  • Centerville, OH
National Provider Identifier
1083666457
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50002315 Issued in OH
Practice address
896 S Main St
Centerville, OH 45458-3439
Phone
(937) 433-6513
Fax
(937) 291-3398
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50002315 OH Primary

Addresses

Primary practice location

896 S Main St
Centerville, OH 45458-3439

Mailing address

896 S Main St
Centerville, OH 45458-3439
Phone (937) 433-6513

Other practice location 1

101 S Orange St
Xenia, OH 45385-3603
Phone (937) 372-6012

Other practice location 2

6210 Brandt Pike Ste 102
Huber Heights, OH 45424-4019
Phone (937) 236-8630

Other identifiers 2

IdentifierTypeStateIssuer
H108425OtherOHMEDICARE PTAN
0074307MedicaidOH

Other names 1

  • Laurie Barlage Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051006000864 OH Practitioner - Physician Assistant 0941225155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cova OB/GYN, LLCGroup PAC ID 9133447535, 3 clinicians

Practice addresses (Care Compare)

896 S Main St
Centerville, OH 45458-3439
Phone (937) 433-6513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50002315OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Marysville Emergency Physicians Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Greene Emergency Medical Services Past Accepting new patients

Locations

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1083666457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 S MAIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583439",
            "telephone_number": "937-433-6513",
            "fax_number": "937-291-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 S MAIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583439",
            "telephone_number": "937-433-6513",
            "fax_number": "937-291-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Orange St",
            "address_purpose": "LOCATION",
            "city": "Xenia",
            "state": "OH",
            "postal_code": "453853603",
            "country_code": "US",
            "telephone_number": "937-372-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 Brandt Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454244019",
            "country_code": "US",
            "telephone_number": "937-236-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "LAURIE",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H108425",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BARLAGE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.