Charles William Murdach, MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0322 Issued in NH

Practice address

33 Tuttle Lane
Greenland, NH 03840-2327

Phone

(603) 828-4786

NPI assigned

Oct 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1356538565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TUTTLE LN",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402327",
            "telephone_number": "603-828-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 TUTTLE LANE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402327",
            "telephone_number": "603-828-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDACH",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MA, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tabatha Moulton, LMT
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• Victoria B Nast, ARNP
• Erin Neely, PSY.D.
• New Hampshire Hearing and Balance, LLC
• Rebecca J Oliver, D.C.

• Athletic Trainer in Greenland, NH
• Providers in Greenland, NH by specialty
• Athletic Trainer in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.