Active NPI
Murphy Surgical Clinic PA
- Surgery Physician
- Conway, AR
National Provider Identifier
1790904209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C5086
- Legal business name
- MURPHY SURGICAL CLINIC PA
- Practice address
- 1840 Royal Dr
Conway, AR 72034-7345 - Phone
- (501) 733-0889
- NPI assigned
- Apr 24, 2007
- Last updated
- Aug 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Murphy
- Title
- President
- Phone
- (501) 733-0889
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C5086 | AR | Primary |
Addresses
Primary practice location
1840 Royal Dr
Conway, AR 72034-7345
Mailing address
1840 Royal Dr
Conway, AR 72034-7345
Phone (501) 733-0889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102655001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Conway, AR
- NPI 1376535641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281484800000",
"number": "1790904209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 ROYAL DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347345",
"telephone_number": "501-733-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 ROYAL DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347345",
"telephone_number": "501-733-0889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURPHY SURGICAL CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2010-08-11",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-733-0889",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AR",
"license": "C5086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102655001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.