Individual provider Active NPI

Maureen Murdoch Nelson, MD MPH

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1326154006
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33600 Issued in MN
Practice address
One Veterano Dr
Section General Internal Medicine 1110 Mvamc
Minneapolis, MN 55417
Phone
(612) 467-2679
Fax
(612) 725-2118
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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 33600 MN Primary

Addresses

Primary practice location

One Veterano Dr
Section General Internal Medicine 1110 Mvamc
Minneapolis, MN 55417

Mailing address

One Veterano Dr
Section General Internal Medicine 1110 Mvamc
Minneapolis, MN 55417
Phone (612) 467-2679

Other names 1

  • Dr. Maureen Murdoch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130702000677 MN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2062652688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33600MNMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1326154006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VETERANO DR",
            "address_2": "SECTION GENERAL INTERNAL MEDICINE 1110 MVAMC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-467-2679",
            "fax_number": "612-725-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE VETERANO DR",
            "address_2": "SECTION GENERAL INTERNAL MEDICINE 1110 MVAMC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-467-2679",
            "fax_number": "612-725-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MAUREEN",
        "middle_name": "MURDOCH",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "33600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "MURDOCH",
            "prefix": "DR.",
            "credential": "MD MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.