Individual provider Active NPI

Courtney Jeannine Murray, D.O.

  • Obstetrics & Gynecology Physician
  • Winchester, TN
National Provider Identifier
1164818365
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5315069247 Issued in MI
Practice address
161 Shirley Dr
Winchester, TN 37398-2256
Phone
(931) 962-0450
NPI assigned
Apr 14, 2015
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5315069247 MI Primary

Addresses

Primary practice location

161 Shirley Dr
Winchester, TN 37398-2256

Mailing address

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 888-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230914002605 PA Practitioner - Obstetrics/Gynecology 2365735792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri State Obstetrics and GynecologyGroup PAC ID 5597659334, 8 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 770-7964

1125 7TH Ave
Beaver Falls, PA 15010-4426
Phone (724) 728-3575

2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone (724) 843-0737

3468 Brodhead Rd
Suite 12
Monaca, PA 15061-3149
Phone (724) 728-3575

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315069247MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Obstetrics & Gynecology Obstetrics & Gynecology CurrentSince Sep 4, 2023 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients
Tri State Obstetrics & Gynecology Obstetrics & Gynecology PastSince Jul 17, 2022 Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999

3468 Brodhead Rd
Ste 12
Monaca, PA 15061
Phone (724) 728-3575

Interoperability endpoints

  • Direct secure messaging: courtneymurray@hvhs.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1164818365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "248-888-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SHIRLEY DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982256",
            "telephone_number": "931-962-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "COURTNEY",
        "middle_name": "JEANNINE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5315069247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.