NPIMap

Individual provider Active NPI

Tyler Murphy, MD

  • Internal Medicine Physician
  • Holland, MI
National Provider Identifier
1295869188
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301084215 Issued in MI
Practice address
3235 N Wellness Dr
Suite 120B BLDG a
Holland, MI 49424-7264
Phone
(616) 399-9522
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301084215 MI Primary

Addresses

Primary practice location

3235 N Wellness Dr
Suite 120B BLDG a
Holland, MI 49424-7264

Mailing address

3235 N Wellness Dr
Suite 120B BLDG a
Holland, MI 49424-7264

Other identifiers 1

IdentifierTypeStateIssuer
D16150186OtherMIMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000628 MI Practitioner - Internal Medicine 4880795731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

3235 N Wellness Dr
120B Internal Medicine North
Holland, MI 49424-8035
Phone (616) 399-9522

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

  • Holland Community Hospital Home health agency, Holland, MI, CCN 237226
  • Holland Hospital Hospital, Holland, MI, CCN 230072
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084215MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital CurrentSince Mar 1, 2016 Accepting new patients
Holland Community Hospital CurrentSince Mar 1, 2016 Accepting new patients
Holland Community Hospital Past Accepting new patients
Holland Community Hospital Internal Medicine Past Accepting new patients
Holland Community Hospital PastSince Mar 31, 2024 Accepting new patients

Locations

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522

3235 N Wellness Dr
Ste 120B
Holland, MI 49424
Phone (616) 399-1369

3235 N Wellness Dr
Bldg A
Holland, MI 49424
Phone (616) 395-2833

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

Interoperability endpoints

  • Direct secure messaging: tyler.murphy@holland.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1295869188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR",
            "address_2": "SUITE 120B BLDG A",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR",
            "address_2": "SUITE 120B BLDG A",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247264",
            "telephone_number": "616-399-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D16150186",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.