Individual provider Active NPI

Todd I Murray, MD

  • Emergency Medicine Physician
  • Florence, OR
National Provider Identifier
1154379691
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD27409 Issued in OR
Practice address
400 9TH St
Florence, OR 97439-7398
Phone
(541) 902-6140
Fax
(541) 902-7533
NPI assigned
May 5, 2006
Last updated
Dec 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A75112 CA
Emergency Medicine Physician 207P00000X MD27409 OR Primary

Addresses

Primary practice location

400 9TH St
Florence, OR 97439-7398

Mailing address

380 9TH St
Florence, OR 97439-9470
Phone (541) 997-8412

Other identifiers 2

IdentifierTypeStateIssuer
006099MedicaidOR
00A751120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180418000086 MA Practitioner - Emergency Medicine 7315835196 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154405CAMDMarriage & Family Therapist
A75112CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes/National Emergency Physicians Inc Emergency Medicine CurrentSince Mar 15, 2018 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 9, 2020 Accepting new patients
Fairview Hospital CurrentSince Jun 2, 2018 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 9, 2020 Accepting new patients
Fairview Hospital CurrentSince Jun 2, 2018 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine Past Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine PastSince Jan 22, 2023 Accepting new patients
Peacehealth PastSince Aug 22, 2016 Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine PastSince Jan 22, 2023 Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Organizations & group practices 10

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1154379691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399470",
            "telephone_number": "541-997-8412",
            "fax_number": "541-997-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397398",
            "telephone_number": "541-902-6140",
            "fax_number": "541-902-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "TODD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A75112",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD27409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006099",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A751120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.