Active NPI
Mai Murray, PA-C
- Surgical Physician Assistant
- Lakeway, TX
National Provider Identifier
1316130438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA11428
- Practice address
- 200 Medical Pkwy Ste 110
Lakeway, TX 78738-1792 - Phone
- (512) 654-0150
- Fax
- (512) 654-0155
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 19265 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA11428 | TX | Primary |
Addresses
Primary practice location
200 Medical Pkwy Ste 110
Lakeway, TX 78738-1792
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Other practice location 1
300 Pasteur Dr
Room R171 M/C 5326
Stanford, CA 94305-2200
Phone (650) 725-6799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1316130438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800",
"fax_number": "254-724-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PKWY STE 110",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787381792",
"telephone_number": "512-654-0150",
"fax_number": "512-654-0155"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr",
"address_2": "Room R171 M/C 5326",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-725-6799",
"fax_number": "650-723-9805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURRAY",
"first_name": "MAI",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "19265",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA11428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.