Active NPI
Sara Murdick, M.D.
- Pediatrics Physician
- Beaverton, OR
National Provider Identifier
1417151382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD157316
- Practice address
- 15455 NW Greenbrier Pkwy
Ste 111
Beaverton, OR 97006-7374 - Phone
- (503) 531-3434
- Fax
- (503) 645-4544
- NPI assigned
- Jun 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD157316 | OR | Primary |
| Pediatric Sports Medicine Physician | 2080S0010X | MD157316 | OR |
Addresses
Primary practice location
15455 NW Greenbrier Pkwy
Ste 111
Beaverton, OR 97006-7374
Mailing address
15455 NW Greenbrier Pkwy
Ste 111
Beaverton, OR 97006-7374
Phone (503) 531-3434
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 |
|---|---|---|---|
| MD157316 | OR | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- smurdick69846@direct.lhs.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Portland, OR
- NPI 1235131632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1417151382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15455 NW GREENBRIER PKWY",
"address_2": "STE 111",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067374",
"telephone_number": "503-531-3434",
"fax_number": "503-645-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 NW GREENBRIER PKWY",
"address_2": "STE 111",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067374",
"telephone_number": "503-531-3434",
"fax_number": "503-645-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDICK",
"first_name": "SARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD157316",
"primary": true
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "OR",
"license": "MD157316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.