Active NPI
Gorden Thomas McMurry, MD
- Otolaryngology Physician
- Louisville, KY
National Provider Identifier
1871599407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 14174
- Practice address
- 4004 Dupont Cir
Suite 220
Louisville, KY 40207-4819 - Phone
- (502) 893-0159
- Fax
- (502) 213-3853
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 14174 | KY | |
| Otolaryngology Physician | 207Y00000X | 14174 | KY | Primary |
| Otolaryngology Physician | 207Y00000X | 01039324A | IN | |
| Otology & Neurotology Physician | 207YX0901X | 14174 | KY |
Addresses
Primary practice location
4004 Dupont Cir
Suite 220
Louisville, KY 40207-4819
Mailing address
PO Box 950116
Suite 220
Louisville, KY 40295-0116
Phone (502) 893-0159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64141740 | Medicaid | KY | |
| 040003867 | Other | KY | MEDICARE RR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14174 | KY | MD | Specialist |
| 01039324A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Ear Nose & Throat-Head & Neck Center | Otolaryngology | Current | Accepting new patients |
| Merit Anesthesia PLLC | Past | Accepting new patients | |
| Midwest Ear Nose and Throat Surgery, PSC | Otolaryngology | Past | Accepting new patients |
Locations
Dept 8033
Carol Stream, IL 60122
3605 Northgate Ct
New Albany, IN 47150
Phone (812) 944-4263
4004 DuPont Cir
Ste 220
Louisville, KY 40207
Interoperability endpoints
- cfichandler@adventa.gwaydirect.com
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Carol Stream, IL
- NPI 1689732836
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
-
- Otolaryngology Physician
- Evansville, IN
- NPI 1437153285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1871599407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950116",
"address_2": "SUITE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950116",
"telephone_number": "502-893-0159",
"fax_number": "502-213-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 DUPONT CIR",
"address_2": "SUITE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074819",
"telephone_number": "502-893-0159",
"fax_number": "502-213-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMURRY",
"first_name": "GORDEN",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "14174",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "14174",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01039324A",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "KY",
"license": "14174",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64141740",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "040003867",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.