Active NPI
Gannavarapu V Murty, M.D.
- Family Medicine Physician
- Hugo, OK
National Provider Identifier
1780665398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13831
- Practice address
- 1201 E Jackson St
Hugo Rural Health Clinic
Hugo, OK 74743 - Phone
- (580) 326-6423
- Fax
- (580) 326-3660
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13831 | OK | Primary |
| Internal Medicine Physician | 207R00000X | 13831 | OK |
Addresses
Primary practice location
1201 E Jackson St
Hugo Rural Health Clinic
Hugo, OK 74743
Mailing address
603 N.E. 2ND St.
Antlers, OK 74523
Phone (580) 298-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100521610B | Medicaid | OK |
Other names 1
- G V N Murty
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056118 | FL | MD | Specialist |
| 13831 | OK | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R E F M Emergency Services | Past | Accepting new patients | |
| Rowland Ellis Flatt Hugo Rural Health Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Care Clinic/Center
- Hugo, OK
- NPI 1194716530
-
dba Hugo Rural Health Clinic
- Medical Specialty Clinic/Center
- Hugo, OK
- NPI 1548251978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1780665398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N.E. 2ND ST.",
"city": "ANTLERS",
"state": "OK",
"postal_code": "74523",
"telephone_number": "580-298-3351",
"fax_number": "580-298-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E JACKSON ST",
"address_2": "HUGO RURAL HEALTH CLINIC",
"city": "HUGO",
"state": "OK",
"postal_code": "74743",
"telephone_number": "580-326-6423",
"fax_number": "580-326-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURTY",
"first_name": "GANNAVARAPU",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "13831",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "13831",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100521610B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "G V N",
"last_name": "MURTY",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hugo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.