Individual provider Active NPI

Timothy P Murphy, M.D.

  • Pediatrics Physician
  • Saint Joseph, MO
National Provider Identifier
1508926320
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R3M08 Issued in MO
Practice address
711 N 36TH St
Saint Joseph, MO 64506-2977
Phone
(816) 271-4022
Fax
(816) 271-4020
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X R3M08 MO
Pediatrics Physician 208000000X R3M08 MO Primary

Addresses

Primary practice location

711 N 36TH St
Saint Joseph, MO 64506-2977

Mailing address

711 N 36TH St
Saint Joseph, MO 64506-2900
Phone (816) 271-4022

Other practice location 1

902 N Riverside Rd
Ste 100
Saint Joseph, MO 64507-2559
Phone (816) 271-1355

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508926320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062900",
            "telephone_number": "816-271-4022",
            "fax_number": "816-271-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062977",
            "telephone_number": "816-271-4022",
            "fax_number": "816-271-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 N Riverside Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072559",
            "country_code": "US",
            "telephone_number": "816-271-1355",
            "fax_number": "816-271-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MO",
            "license": "R3M08",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R3M08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.