Active NPI
James W Murdock, DO
- Emergency Medicine Physician
- Clarksville, AR
National Provider Identifier
1295848323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- N8223
- Practice address
- 1100 E Poplar St
Clarksville, AR 72830-4419 - Phone
- (479) 754-5454
- Fax
- (479) 754-5311
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | N8223 | AR | Primary |
Addresses
Primary practice location
1100 E Poplar St
Clarksville, AR 72830-4419
Mailing address
PO Box 738
Clarksville, AR 72830-0738
Phone (479) 754-5454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55303 | Other | AR | BX INDIVIDUAL PROVIDER # |
| 121186003 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8223 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Land Ambulance
- Clarksville, AR
- NPI 1275753881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295848323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 738",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728300738",
"telephone_number": "479-754-5454",
"fax_number": "479-754-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304419",
"telephone_number": "479-754-5454",
"fax_number": "479-754-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "JAMES",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "N8223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX INDIVIDUAL PROVIDER #",
"identifier": "55303",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121186003",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.