Individual provider Active NPI

Michael J Murphy, M.D.

  • Urology Physician
  • Neenah, WI
National Provider Identifier
1265467393
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
45182-020 Issued in WI
Practice address
1265 W American Dr Ste 100
Neenah, WI 54956
Phone
(920) 722-7747
NPI assigned
Jul 11, 2006
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 45182-020 WI Primary

Addresses

Primary practice location

1265 W American Dr Ste 100
Neenah, WI 54956

Mailing address

1265 W American Dr Ste 100
Neenah, WI 54956-1405
Phone (920) 722-7747

Other identifiers 1

IdentifierTypeStateIssuer
1265467393MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.murphy.1@10114.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060911000081 WI Practitioner - Urology 4587668371 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45182-020WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Wisconsin S.C. Urology Current Accepting new patients
Wisconsin Institute of Surgical Excellence LLC Current Accepting new patients
Wisconsin Institute of Urology SC Urology CurrentSince Jan 1, 2011 Accepting new patients
Thedacare Medical Center - Shawano, Inc. Past Accepting new patients

Locations

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

100 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 722-7747

100 Theda Clark Medical Plz
#A300
Neenah, WI 54956

100 Theda Clark Medical Plz
Ste 300
Neenah, WI 54956
Phone (920) 722-7747

100 Theda Clark Medical Plz
Ste A300
Neenah, WI 54956

1265 West American Dr
#100
Neenah, WI 54956
Phone (920) 722-7747

200 Theda Clark Medical Plz
Ste 310
Neenah, WI 54956
Phone (920) 358-1223

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Interoperability endpoints

  • Direct secure messaging: michael.murphy.1@10114.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1265467393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 W AMERICAN DR STE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561405",
            "telephone_number": "920-722-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 W AMERICAN DR STE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-722-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "45182-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265467393",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.murphy.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2700 W 9th Ave",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.