Active NPI
Amanda D. Murphy, P.A.-C
- Physician Assistant
- Owensboro, KY
National Provider Identifier
1497754279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA787
- Practice address
- 1102 Triplett St
Ste. 1000
Owensboro, KY 42303-3104 - Phone
- (270) 926-8828
- Fax
- (270) 926-0760
- NPI assigned
- Jul 14, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA787 | KY | Primary |
Addresses
Primary practice location
1102 Triplett St
Ste. 1000
Owensboro, KY 42303-3104
Mailing address
169 Partridge Loop
Owensboro, KY 42301
Phone (270) 689-2145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95003572 | Medicaid | KY |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA787 | KY | MD | Physician Assistant |
| TC513 | KY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Medical Practice, PLLC | Physician Assistant | Past | Accepting new patients |
| Owensboro Pediatrics LLC | Physician Assistant | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Owensboro, KY
- NPI 1851315105
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1497754279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 PARTRIDGE LOOP",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42301",
"telephone_number": "270-689-2145",
"fax_number": "270-926-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 TRIPLETT ST",
"address_2": "STE. 1000",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423033104",
"telephone_number": "270-926-8828",
"fax_number": "270-926-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "AMANDA",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95003572",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.