Christopher B Murphy PA
Organization Active NPI Foot Surgery Podiatrist · Edgewater, FL
NPI 1922188002 · NPPES record last updated Feb 11, 2010
Key facts
- NPI
- 1922188002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- PO2338 (FL)
- Legal business name
- CHRISTOPHER B MURPHY PA
- Practice address
- 107 Merrimac St
Edgewater, FL 32132-1905 - Phone
- (386) 428-5656
- Fax
- (386) 428-5440
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Christopher B Murphy, DPM
- Title
- President
- Phone
- (386) 428-5656
Practitioners 1
-
Christopher B. Murphy, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080530000095 | FL | Part B Supplier - Clinic/Group Practice | 0840360020 |
Receives reassigned benefits from 1 practitioner Practice locations: Port Orange, FL; Edgewater, FL |
| O20100930053062 | FL | DME Supplier - Physician - Podiatry | 0840360020 | Practice locations: Edgewater, FL |
National Provider Directory
Locations
107 Merrimac St
Edgewater, FL 32132
Phone (386) 428-5656
1730 Dunlawton Ave
Ste 2
Port Orange, FL 32127
Phone (386) 256-2969
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist |
213ES0131X | PO2338 | FL | Yes |
Addresses
Primary practice location
107 Merrimac St
Edgewater, FL 32132-1905
Mailing address
107 Merrimac St
Edgewater, FL 32132-1905
Phone (386) 428-5656
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390131900 | Medicaid | FL |
Other providers in Edgewater, FL
- Central Florida Mobility, Inc.
- Margaret Chang
- Charles D Martin Jr DC PA
- David Storm Chess
- Children'S Therapy Network, Inc
- Rebecca Lynn Cicchetti
- Circle of Connections, LLC
- Coastal Esthetics, LLC
- Coastal Family Practice LLC
- Coastal Integrative Healthcare Inc
All providers in Edgewater, FL · Foot Surgery Podiatrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.