Individual provider Active NPI

Murty S Vuppala

  • Pediatrics Physician
  • Parma Heights, OH
National Provider Identifier
1811061542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35042888 Issued in OH
Practice address
6363 York Road
Suite 103
Parma Heights, OH 44130-3031
Phone
(440) 888-1500
Fax
(440) 888-5809
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35042888 OH Primary

Addresses

Primary practice location

6363 York Road
Suite 103
Parma Heights, OH 44130-3031

Mailing address

6363 York Road
Suite 103
Parma Heights, OH 44130-3031
Phone (440) 888-1500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35042888OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811061542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 YORK ROAD",
            "address_2": "SUITE 103",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303031",
            "telephone_number": "440-888-1500",
            "fax_number": "440-888-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 YORK ROAD",
            "address_2": "SUITE 103",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303031",
            "telephone_number": "440-888-1500",
            "fax_number": "440-888-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUPPALA",
        "first_name": "MURTY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35042888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.