Individual provider Active NPI

Thomas J Murwin, MD

  • Pediatrics Physician
  • Stoughton, WI
National Provider Identifier
1427099357
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33753-020 Issued in WI
Practice address
225 Church St
Dean Medical Center
Stoughton, WI 53589-1801
Phone
(608) 877-2700
Fax
(608) 877-2726
NPI assigned
Jun 10, 2006
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33753-020 WI Primary

Addresses

Primary practice location

225 Church St
Dean Medical Center
Stoughton, WI 53589-1801

Mailing address

225 Church St
Dean Medical Center
Stoughton, WI 53589-1801
Phone (608) 877-2700

Other identifiers 1

IdentifierTypeStateIssuer
1427099357MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tmurwin262065@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20100816000089 WI Practitioner - Pediatric Medicine 7719011667 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33753-020WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Mar 1, 2010 Accepting new patients
Dean Health Systems, Inc. CurrentSince Mar 1, 2010 Accepting new patients

Locations

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

225 Church St
Stoughton, WI 53589
Phone (608) 877-2700

Interoperability endpoints

  • Direct secure messaging: tmurwin262065@direct-ehr-ssmhc.com

Organizations & group practices 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1427099357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CHURCH ST",
            "address_2": "DEAN MEDICAL CENTER",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891801",
            "telephone_number": "608-877-2700",
            "fax_number": "608-877-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CHURCH ST",
            "address_2": "DEAN MEDICAL CENTER",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891801",
            "telephone_number": "608-877-2700",
            "fax_number": "608-877-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURWIN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "33753-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427099357",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmurwin262065@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tmurwin262065@direct-ehr-ssmhc.com",
            "address_1": "225 Church St",
            "address_2": "Dean Medical Center",
            "city": "Stoughton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535891801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "225 Church St",
            "address_2": "Dean Medical Center",
            "city": "Stoughton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535891801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

Verify at the official NPI Registry.