NPIMap

Individual provider Active NPI

Jared Murdock, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Baton Rouge, LA
National Provider Identifier
1801127691
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD.208126 Issued in LA
Practice address
7777 Hennessy Blvd
Suite 1008
Baton Rouge, LA 70808-4300
Phone
(225) 766-0416
NPI assigned
Jan 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD438139 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 068075 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A107948 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD.208126 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 1008
Baton Rouge, LA 70808-4300

Mailing address

7712 Settlers Cir
Baton Rouge, LA 70810-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109003474 AK Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6507173564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Tufts University School of Dental Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northstarr Cardiothoracic Surgery LLCGroup PAC ID 4789938499, 13 clinicians

Practice addresses (Care Compare)

3841 Piper St
Suite T382
Anchorage, AK 99508-4694
Phone (907) 917-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD438139PAMDSurgery Physician
A107948CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
068075GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstarr Cardiothoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 28, 2018 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

3841 Piper St
Ste T382
Anchorage, AK 99508
Phone (907) 917-2200

3831 Piper St
Ste SLL020
Anchorage, AK 99508
Phone (907) 212-3470

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1801127691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 SETTLERS CIR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 1008",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-766-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD438139",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "068075",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A107948",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "MD.208126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.