Individual provider Active NPI

Amy Lynn Murdock, MS, PA-C

  • Physician Assistant
  • Warren, MI
National Provider Identifier
1720643331
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
28477 Hoover Rd
Warren, MI 48093-5400
Phone
(586) 250-4040
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

28477 Hoover Rd
Warren, MI 48093-5400

Mailing address

28477 Hoover Rd
Warren, MI 48093-5400
Phone (596) 250-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Medical Services PC CurrentSince Mar 4, 2022 Accepting new patients
Rochester Urgent Care, P. C. CurrentSince Mar 4, 2022 Accepting new patients
First Choice Urgent Care PC Past Accepting new patients

Locations

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

1010 N Campbell Rd
Ste 3
Royal Oak, MI 48067
Phone (248) 850-8395

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1720643331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28477 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935400",
            "telephone_number": "596-250-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28477 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935400",
            "telephone_number": "586-250-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.