Mark A Murray, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2892-012 Issued in WI

Practice address

15614 Windrose LN
Ste. 300
Hayward, WI 54843-5032

Phone

(715) 634-9911

Fax

(715) 634-9911

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwoods Chiropractic Inc.

  • Clinic/Center
  • Hayward, WI
  • NPI 1326235292
  Medicare reassignment NPD Authorized official
• Shell Lake Cumberland Chiropractic Clinics LLC

  • Chiropractor
  • Shell Lake, WI
  • NPI 1023786324
  NPD
• International Quality Homecare of Wisconsin LLC

  • Home Health Agency
  • Hayward, WI
  • NPI 1508324930
  NPD (past)
• Shell Lake Cumberland Chiropractic Clinics LLC

  • Chiropractor
  • Shell Lake, WI
  • NPI 1104014059
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255439444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1339",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548431339",
            "telephone_number": "715-634-9911",
            "fax_number": "715-634-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 WINDROSE LN",
            "address_2": "STE. 300",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435032",
            "telephone_number": "715-634-9911",
            "fax_number": "715-634-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2892-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38869900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imtiaz Mohamed, MD
• Rachel Montague, PA-C
• William Morrow
• Karen Morse
• Laura Murphy, M.D.
• Caitlan Myren, MSW, LCSW
• Carrie Nadelhoffer, LPC-IT
• Margaret Frances Naylor
• Sara J Nemetz, MSN, FNP-BC, APNP
• Constance M Newman, MS, LCSW

• Chiropractor in Hayward, WI
• Providers in Hayward, WI by specialty
• Chiropractor in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.