Thomas Douglas Murray, MD
Individual provider Active NPI Addiction Medicine (Family Medicine) Physician · Caldwell, OH
NPI 1679569107 · NPPES record last updated Apr 22, 2014
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2018.
Key facts
- NPI
- 1679569107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- License
- 35-07-8057M (OH)
- Practice address
- 317 West St
Caldwell, OH 43724-1338 - Phone
- (740) 732-7022
- Fax
- (740) 732-7149
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME37864 | FL | MD | Addiction Medicine (Family Medicine) Physician |
| 9700681 | NC | MD | Addiction Medicine (Family Medicine) Physician |
| 0101058597 | VA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom Murray MD, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME37864 | FL | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 35-07-8057M | OH | Yes |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 9700681 | NC | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 0101058597 | VA |
Addresses
Primary practice location
317 West St
Caldwell, OH 43724-1338
Mailing address
317 West St
Caldwell, OH 43724-1338
Phone (740) 732-7022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200868933 | Other | OH | CIGNA |
| 000000330018 | Other | OH | ANTHEM |
| 2204171 | Medicaid | OH | |
| 7100213 | Other | OH | AETNA |
| 0105307 | Other | OH | UNITED HEALTH CARE |
| D78057 | Other | OH | THE HEALTH PLAN |
Other names
- Dr. Tom Murray
Other providers in Caldwell, OH
- George Eric Magyar
- Mary E Rex
- Roberta McFarland
- Amy Michelle McKown
- James William Mershon
- Alicia Maye Nau
- Kathryn Nau
- New Beginnings Home Care LLC
- John Kevin Ney
- Michael Paul Nickell
All providers in Caldwell, OH · Addiction Medicine (Family Medicine) Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.