Active NPI
Jack P Murphy, M.D.
- Procedural Dermatology Physician
- La Place, LA
National Provider Identifier
1487615662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 0-10905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1145351 | Medicaid | LA |
Other names 1
- Dr. Jack P Murphy
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 25 |
| Removal of skin lesions | 121 |
| Removal or shaving of skin growth | 29 |
| Skin biopsy | 11 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0-10905 | LA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Place Dermatology Clinic a Professional Medical Corp | Procedural Dermatology | Current | 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.
-
- Procedural Dermatology Physician
- Laplace, LA
- NPI 1558573097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.