Active NPI
Kevin Lee Murphy, PA-C
- Physician Assistant
- Nacogdoches, TX
National Provider Identifier
1548483472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02522
- Practice address
- 1401 S University Dr
Nacogdoches, TX 75961-6488 - Phone
- (936) 560-5668
- Fax
- (936) 560-3928
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- 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 | PA02522 | TX | Primary |
Addresses
Primary practice location
1401 S University Dr
Nacogdoches, TX 75961-6488
Mailing address
1401 S University Dr
P. O. Box 632040
Nacogdoches, TX 75961-6488
Phone (936) 560-5668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050210000105 | TX | Practitioner - Physician Assistant | 4284685942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Augustine Family Practice PA | Past | Accepting new patients | |
| V E H Brooks M.D., P.a. | Past | Accepting new patients | |
| East Texas Community Health Services, Inc | Past | Accepting new patients | |
| Stig Peitersen MD PA | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Nacogdoches, TX
- NPI 1457216665
-
- Family Medicine Physician
- San Augustine, TX
- NPI 1043379597
-
- Specialist
- Lufkin, TX
- NPI 1083806020
-
- Surgery Physician
- Brownsville, TX
- NPI 1346444049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548483472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S UNIVERSITY DR",
"address_2": "P. O. BOX 632040",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759616488",
"telephone_number": "936-560-5668",
"fax_number": "936-560-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759616488",
"telephone_number": "936-560-5668",
"fax_number": "936-560-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "KEVIN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.