Melvin Mokiso Murrill, MEDICAL DOCTOR

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

014291 Issued in LA

Practice address

4560 North Blvd
Suite 114
Baton Rouge, LA 70806-4043

Phone

(225) 928-0695

Fax

(225) 928-3662

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1801800354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-928-0695",
            "fax_number": "225-928-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "address_2": "SUITE 114",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-928-0695",
            "fax_number": "225-928-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRILL",
        "first_name": "MELVIN",
        "middle_name": "MOKISO",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "014291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "720923279",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305561",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacinta T Murray
• Kelly Murray, LCSW
• Lakrisha Murray
• Samantha Reyatta Murray
• Ta Leah Murray
• William Britton Murrill, MD
• Kaley Marie Murry, AU.D.
• Trae Ranell Murry
• Tyler Chase Murry, NP
• Gerard L Murtagh, MD

• Pediatric Adolescent Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pediatric Adolescent Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.