Individual provider Active NPI

Gordon D Murphy III, PA-C

  • Medical Physician Assistant
  • Bar Harbor, ME
National Provider Identifier
1801027164
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA001167 Issued in ME
Practice address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone
(207) 288-5081
Fax
(207) 288-7024
NPI assigned
Aug 5, 2009
Last updated
Dec 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA001167 ME Primary

Addresses

Primary practice location

10 Wayman LN
Bar Harbor, ME 04609-1625

Mailing address

PO Box 8
Mdi Hospital
Bar Harbor, ME 04609-0008
Phone (207) 288-5081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000010 ME Practitioner - Physician Assistant 8224184569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Desert Island HospitalGroup PAC ID 0941250963, 61 clinicians

Practice addresses (Care Compare)

322 Main St
Bar Harbor, ME 04609-1648
Phone (207) 288-5119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA001167MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Desert Island Hospital CurrentSince Apr 24, 2013 Accepting new patients
The Blue Hill Memorial Hospital Past Accepting new patients
St. Mary's Regional Medical Center Past Accepting new patients

Locations

10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082

322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1801027164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "address_2": "MDI HOSPITAL",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046090008",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "GORDON",
        "middle_name": "D",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA001167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bar Harbor, ME

Sources for this page

Verify at the official NPI Registry.