Individual provider Active NPI

Charles Patrick Murphy, M.D.

  • Specialist
  • Kenner, LA
National Provider Identifier
1386669323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016661 Issued in LA
Practice address
671 W Esplanade Ave
Suite 100
Kenner, LA 70065-2794
Phone
(504) 467-5900
Fax
(504) 467-7272
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 016661 LA Primary

Addresses

Primary practice location

671 W Esplanade Ave
Suite 100
Kenner, LA 70065-2794

Mailing address

671 W Esplanade Ave
Suite 100
Kenner, LA 70065-2794
Phone (504) 467-5900

Other identifiers 1

IdentifierTypeStateIssuer
1367788MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040802001346 LA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1759352024 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016661LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center for Sports Medicine and Reconstructive Surgery Specialist CurrentSince May 14, 2018 Accepting new patients

Locations

671 W Esplanade Ave
Ste 100
Kenner, LA 70065
Phone (504) 231-5988

4921 Airline Dr
Metairie, LA 70001
Phone (504) 467-5900

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386669323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 W ESPLANADE AVE",
            "address_2": "SUITE 100",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652794",
            "telephone_number": "504-467-5900",
            "fax_number": "504-467-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 W ESPLANADE AVE",
            "address_2": "SUITE 100",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652794",
            "telephone_number": "504-467-5900",
            "fax_number": "504-467-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "016661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1367788",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.