Individual provider Active NPI

Anita C Murcko, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1477558757
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17752 Issued in AZ
Practice address
1515 N 9TH St
Ste D
Phoenix, AZ 85006-2523
Phone
(602) 252-6855
Fax
(602) 252-2223
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17752 AZ Primary

Addresses

Primary practice location

1515 N 9TH St
Ste D
Phoenix, AZ 85006-2523

Mailing address

1515 N 9TH St
Ste D
Phoenix, AZ 85006-2523
Phone (602) 252-6855

Other identifiers 2

IdentifierTypeStateIssuer
AZ0345490OtherAZAZ BCBS
283531MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Medicine PC Internal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1477558757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N 9TH ST",
            "address_2": "STE D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062523",
            "telephone_number": "602-252-6855",
            "fax_number": "602-252-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N 9TH ST",
            "address_2": "STE D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062523",
            "telephone_number": "602-252-6855",
            "fax_number": "602-252-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURCKO",
        "first_name": "ANITA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BCBS",
            "identifier": "AZ0345490",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283531",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.