Ardrea Murphy, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101011881 Issued in MI

Practice address

26650 Eureka Rd Ste E
Taylor, MI 48180-4835

Phone

(734) 941-4991

Fax

(734) 941-4919

NPI assigned

Aug 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Western Wayne Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Inkster, MI
  • NPI 1972530277
  Medicare reassignment NPD
• Western Wayne Family Health Centers

  dba Western Wayne Family Health Centers - Ecorse Schools

  • Federally Qualified Health Center (FQHC)
  • Ecorse, MI
  • NPI 1316510860
  NPD
• Western Wayne Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Lincoln Park, MI
  • NPI 1508280116
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1871585596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HAMLIN BLVD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412206",
            "telephone_number": "313-561-5100",
            "fax_number": "313-565-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26650 EUREKA RD STE E",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804835",
            "telephone_number": "734-941-4991",
            "fax_number": "734-941-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Hamlin Blvd",
            "address_purpose": "LOCATION",
            "city": "Inkster",
            "state": "MI",
            "postal_code": "481412206",
            "country_code": "US",
            "telephone_number": "313-561-5100",
            "fax_number": "313-565-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25650 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481462096",
            "country_code": "US",
            "telephone_number": "313-383-1897",
            "fax_number": "313-383-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Schaefer Rd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263655",
            "country_code": "US",
            "telephone_number": "313-561-5100",
            "fax_number": "313-565-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "ARDREA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101011881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568156-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wafa A Moughni-Ayad, RPH
• Don'Nika Leanna Moulden, LBSW
• Mohamed M Moussa, OD
• Hassan Mouzaihem, MD
• Kari Ann Muntean, MSW, LMSW
• Laura Diane Murphy, M.A., L.L.P.
• Daniel Murray
• Najmuddean Murshed, RPH
• Nawaf H Murshed, M.D.
• Rakiya Mustapha

• Pediatrics Physician in Taylor, MI
• Providers in Taylor, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.