NPIMap

Individual provider Active NPI

Jonathan Kerry Murdock, DO

  • Vascular Surgery Physician
  • Saginaw, MI
National Provider Identifier
1467876649
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
5101025793 Issued in MI
Practice address
4701 Towne Centre Rd
Saginaw, MI 48604-2834
Phone
(989) 790-2600
Fax
(989) 790-3311
NPI assigned
Feb 9, 2014
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5151010838 MI
Vascular Surgery Physician 2086S0129X 5101025793 MI Primary

Addresses

Primary practice location

4701 Towne Centre Rd
Saginaw, MI 48604-2834

Mailing address

4701 Towne Centre Rd Ste 202
Saginaw, MI 48604-2800
Phone (989) 790-2600

Other practice location 1

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (360) 556-7745

Other practice location 2

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (360) 556-7745

Other practice location 3

3601 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 898-5000

Other practice location 4

2125 Ridgewood Dr
Midland, MI 48642-5836
Phone (989) 254-6427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303001643 MI Practitioner - Vascular Surgery 3779877048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Vascular Surgery, P.C.Group PAC ID 8729970165, 6 clinicians

Practice addresses (Care Compare)

4701 Towne Centre Rd
Suite 202
Saginaw, MI 48604-2800
Phone (989) 790-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)28
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151010838MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Health Clinics PLLC Vascular Surgery CurrentSince Dec 2, 2021 Accepting new patients
Mid Michigan Vascular Surgery, P.C. Vascular Surgery CurrentSince Nov 1, 2022 Accepting new patients
Jose L Raygada MD PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

2125 Ridgewood Dr
Midland, MI 48642
Phone (989) 254-6427

4701 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 790-2600

4701 Towne Centre Rd
Ste 202
Saginaw, MI 48604
Phone (989) 355-1982

Interoperability endpoints

  • Direct secure messaging: jmurdock103584@direct.covenanthealthcare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1467876649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042800",
            "telephone_number": "989-790-2600",
            "fax_number": "989-790-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042834",
            "telephone_number": "989-790-2600",
            "fax_number": "989-790-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "360-556-7745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "360-556-7745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "48073",
            "country_code": "US",
            "telephone_number": "248-898-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 Ridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486425836",
            "country_code": "US",
            "telephone_number": "989-254-6427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "JONATHAN",
        "middle_name": "KERRY",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-09",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5151010838",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101025793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.