Individual provider Active NPI

Jack P Murphy, M.D.

  • Procedural Dermatology Physician
  • La Place, LA
National Provider Identifier
1487615662
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
0-10905 Issued in LA
Practice address
398 Belle Terre Blvd
La Place, LA 70068-2435
Phone
(985) 652-7191
Fax
(985) 652-2911
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 0-10905 LA Primary

Addresses

Primary practice location

398 Belle Terre Blvd
La Place, LA 70068-2435

Mailing address

398 Belle Terre Blvd
La Place, LA 70068-2435
Phone (985) 652-7191

Other identifiers 1

IdentifierTypeStateIssuer
1145351MedicaidLA

Other names 1

  • Dr. Jack P Murphy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120220000506 LA Practitioner - Dermatology 2668630872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

398 Belle Terre Blvd
La Place, LA 70068-2435
Phone (985) 652-7191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue25
Removal of skin lesions121
Removal or shaving of skin growth29
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0-10905LAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Place Dermatology Clinic a Professional Medical Corp Procedural Dermatology CurrentSince Mar 27, 1990 Accepting new patients

Locations

398 Belle Terre Blvd
La Place, LA 70068
Phone (985) 652-7191

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1487615662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 BELLE TERRE BLVD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682435",
            "telephone_number": "985-652-7191",
            "fax_number": "985-652-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BELLE TERRE BLVD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682435",
            "telephone_number": "985-652-7191",
            "fax_number": "985-652-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JACK",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "0-10905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1145351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "MURPHY",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.