Individual provider Active NPI

Kathleen Ann Murray, MD

  • Pediatric Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1790875300
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
172266-1205 Issued in UT
Practice address
Fairfax Road at Virginia Street
Shriners Hosptials for Children
Salt Lake City, UT 84103-4399
Phone
(801) 536-3600
Fax
(801) 536-3868
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 172266-1205 UT Primary

Addresses

Primary practice location

Fairfax Road at Virginia Street
Shriners Hosptials for Children
Salt Lake City, UT 84103-4399

Mailing address

Shriners Hospitals for Children Salt
Dept 5034
Los Angeles, CA 90084-0001
Phone (813) 281-8478

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

LicenseStateTypeSpecialty
172266-1205UTMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology Associates Past Accepting new patients

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1790875300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHRINERS HOSPITALS FOR CHILDREN SALT",
            "address_2": "DEPT 5034",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840001",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAIRFAX ROAD AT VIRGINIA STREET",
            "address_2": "SHRINERS HOSPTIALS FOR CHILDREN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034399",
            "telephone_number": "801-536-3600",
            "fax_number": "801-536-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "UT",
            "license": "172266-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.