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Organization Active NPI

Murray-Calloway County Public Hospital Dba Phys Specialists of Murray

  • Orthopaedic Surgery Physician
  • Murray, KY
National Provider Identifier
1295833861
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20499 Issued in KY
Legal business name
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL DBA PHYS SPECIALISTS OF MURRAY
Practice address
300 S 8TH St
Suite 284W
Murray, KY 42071-2400
Phone
(270) 761-5756
Fax
(270) 767-3665
NPI assigned
Sep 20, 2006
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Teresa Carpenter
Title
Executive Director
Phone
(270) 762-1281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20499 KY Primary

Addresses

Primary practice location

300 S 8TH St
Suite 284W
Murray, KY 42071-2400

Mailing address

300 S 8TH St
Suite 480W
Murray, KY 42071-2400
Phone (270) 761-5756

Other identifiers 2

IdentifierTypeStateIssuer
0000047418OtherKYANTHEM BLUE CROSS
64204993MedicaidKS

Other names 1

  • Charette and Morgan Orthopaedics Other name

National Provider Directory

National Provider Directory
Tax ID family
Murray Calloway Cnty Ho22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1295833861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 480W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-761-5756",
            "fax_number": "270-767-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 284W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-761-5756",
            "fax_number": "270-767-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL DBA PHYS SPECIALISTS OF MURRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-09-10",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-762-1281"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "20499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "0000047418",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64204993",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charette and Morgan Orthopaedics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Charette and Morgan Orthopaedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.