Active NPI
Marjorie G Murphy, MD
- Nephrology Physician
- Gallup, NM
National Provider Identifier
1356388334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 82-266
- Practice address
- 1801 Redrock Dr
Gallup, NM 87301-5655 - Phone
- (505) 863-7993
- Fax
- (505) 863-9406
- NPI assigned
- May 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 82-266 | NM | Primary |
Addresses
Primary practice location
1801 Redrock Dr
Gallup, NM 87301-5655
Mailing address
1801 Redrock Dr
Gallup, NM 87301-5655
Phone (505) 863-7993
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337065-14 | Medicaid | AZ | |
| 91822668 | Medicaid | CO | |
| 34231 | Medicaid | NM | |
| T0961 | Medicaid | UT | |
| 390007246 | Other | RAILROAD MEDICARE |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82-266 | NM | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Nephrology | Nephrology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Farmington, NM
- NPI 1104903434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1356388334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 REDROCK DR",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015655",
"telephone_number": "505-863-7993",
"fax_number": "505-863-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 REDROCK DR",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015655",
"telephone_number": "505-863-7993",
"fax_number": "505-863-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "MARJORIE",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NM",
"license": "82-266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337065-14",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91822668",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34231",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T0961",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390007246",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.