Stacie I Murhpy, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

675 W North Ave
Suite 607
Melrose Park, IL 60160-1634

Phone

(708) 681-7809

Fax

(708) 681-7808

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194778282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 607",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-681-7809",
            "fax_number": "708-681-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 607",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-681-7809",
            "fax_number": "708-681-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURHPY",
        "first_name": "STACIE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Hope Moriarty, PA-C
• Farzad Motamedi, DMD
• S. Chandra Mouli, M.D.
• Amanda Elisabeth Muench
• Ryan M. Munoz, M.D.
• Laura Sofia Murphy Garcia, LCPC
• Narayana Murukurthy, BS
• John Mysz
• Nabil Saleh MD, LTD
• Koji Nagai, PHARMD

• Surgical Physician Assistant in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.