Lee M Macmurdo III, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

630161 Issued in TX

Practice address

410 N Hancock Ave
Odessa, TX 79761-5140

Phone

(432) 279-0905

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Permian Basin Kidney Center Inc

  • Nephrology Physician
  • Odessa, TX
  • NPI 1285199026
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1396850871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 BEECHWOOD ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614224",
            "telephone_number": "432-553-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N HANCOCK AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615140",
            "telephone_number": "432-279-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMURDO",
        "first_name": "LEE",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "630161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "630161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1751356-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175135601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Kevin Lynch
• Kevin Onsomu Maangi, RN
• Shelbe Denyse Maass, LPC-ASSOCIATE
• Macaulay E Nwojo MD PLLC
• Amanda Flores Macha, OT
• Scott Madewell, CRNA
• Madhava Agusala MD.,P.a
• Christopher G Maguire, D.O.
• Ujjwol Maharjan
• Antonyos Mahfoud, MD

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.