Active NPI
Moiya Lyn Murphy, D.O.
- Family Medicine Physician
- Elroy, WI
National Provider Identifier
1629070966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35677
- Practice address
- 1515 Academy St
Elroy, WI 53929-1011 - Phone
- (608) 462-8466
- NPI assigned
- Jun 1, 2005
- Last updated
- Jan 20, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35677 | WI | Primary |
Addresses
Primary practice location
1515 Academy St
Elroy, WI 53929-1011
Mailing address
W5404 County Rd N
Mauston, WI 53948-9292
Phone (608) 847-2025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30064300 | Medicaid | WI |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35677 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1629070966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W5404 COUNTY RD N",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539489292",
"telephone_number": "608-847-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 ACADEMY ST",
"city": "ELROY",
"state": "WI",
"postal_code": "539291011",
"telephone_number": "608-462-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "MOIYA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "35677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30064300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elroy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.