Greg Murray, PA-C
Individual provider Active NPI Medical Physician Assistant · Lolo, MT
NPI 1366434839 · NPPES record last updated May 4, 2016
Key facts
- NPI
- 1366434839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 659 (MT)
- Practice address
- 11350 US Highway 93 S
Lolo, MT 59847-9689 - Phone
- (406) 273-0045
- Fax
- (406) 721-3907
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Missoula Bone and Joint LLC
Practice addresses (Care Compare)
2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (406) 721-4436
Hospital & facility affiliations
- St. Patrick Hospital
- Community Medical Center
- Bitterroot Health - Daly Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110816000756 | MT | Practitioner - Physician Assistant | 3476588419 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 659 | MT | Yes |
Addresses
Primary practice location
11350 US Highway 93 S
Lolo, MT 59847-9689
Mailing address
2360 Mullan Rd
Ste C
Missoula, MT 59808-1811
Phone (406) 721-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366434839 | Medicaid | MT |
Other providers in Lolo, MT
- Sadie McKay
- McKayla McNamara
- Heather Miller
- Montana Childrens Dentistry PLLC
- Montana Migrant and Seasonal Farmworkers Council, Inc.
- Kira Pecarina
- Ross William Roadarmel
- Robert Dean Wilcox
- Michael Rafia Sandry
- Melinda Ann Smith
All providers in Lolo, MT · Medical Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.