Organization Active NPI

Jeremiah C. Murphy, M.D., PC

  • Urology Physician
  • Tualatin, OR
National Provider Identifier
1609233824
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD25718 Issued in OR
Legal business name
JEREMIAH C. MURPHY, M.D., PC
Practice address
19260 SW 65TH Ave Ste 400
Tualatin, OR 97062-5712
Phone
(503) 692-1200
Fax
(503) 692-1220
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Jeremiah Murphy, M.D.
Title
Owner/President
Phone
(503) 692-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD25718 OR Primary

Addresses

Primary practice location

19260 SW 65TH Ave Ste 400
Tualatin, OR 97062-5712

Mailing address

19260 SW 65TH Ave Ste 400
Tualatin, OR 97062-5712
Phone (503) 692-1200

Other identifiers 1

IdentifierTypeStateIssuer
023195MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1609233824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 400",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625712",
            "telephone_number": "503-692-1200",
            "fax_number": "503-692-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 400",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625712",
            "telephone_number": "503-692-1200",
            "fax_number": "503-692-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH C. MURPHY, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-692-1200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OR",
            "license": "MD25718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023195",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.