Organization Active NPI

Douglas K Murdock DPM PC

  • Podiatrist
  • Richland, WA
National Provider Identifier
1720202039
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000354 Issued in WA
Legal business name
DOUGLAS K MURDOCK DPM PC
Practice address
780 Swift Blvd Ste 100
Richland, WA 99352-3545
Phone
(509) 946-3444
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Douglas K Murdock
Title
Owner
Phone
(509) 946-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO00000354 WA Primary

Addresses

Primary practice location

780 Swift Blvd Ste 100
Richland, WA 99352-3545

Mailing address

780 Swift Blvd Ste 100
Richland, WA 99352-3545
Phone (509) 946-3444

Other identifiers 1

IdentifierTypeStateIssuer
1000470MedicaidWA

National Provider Directory

National Provider Directory

Locations

925 Stevens Dr
Ste 1B
Richland, WA 99352
Phone (509) 943-2325

780 Swift Blvd
Ste 100
Richland, WA 99352
Phone (509) 946-3444

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1720202039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD STE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523545",
            "telephone_number": "509-946-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD STE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523545",
            "telephone_number": "509-946-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS K MURDOCK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-946-3444"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000470",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.