Active NPI
Low Bluffs Emergency Physicians
- Emergency Medicine Physician
- Poplar Bluff, MO
National Provider Identifier
1205932712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- LOW BLUFFS EMERGENCY PHYSICIANS
- Practice address
- 2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396 - Phone
- (800) 327-0275
- NPI assigned
- Sep 15, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James L Murphy
- Title
- Executive/Vice President
- Phone
- (800) 732-1066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Mailing address
533 W North Ave
102
Elmhurst, IL 60126-2135
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215535 | Other | MO | BLUE SHIELD |
| 516170 | Other | MO | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1205932712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W NORTH AVE",
"address_2": "102",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013396",
"telephone_number": "800-327-0275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOW BLUFFS EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE/VICE PRESIDENT",
"authorized_official_telephone_number": "800-732-1066"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "215535",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "516170",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.