Organization Active NPI

Oscar F Murillo, MD, LLC

  • Internal Medicine Physician
  • Hanover, PA
National Provider Identifier
1972894608
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD035407E Issued in PA
Legal business name
OSCAR F MURILLO, MD, LLC
Practice address
250 Fame Ave
Suite 205B
Hanover, PA 17331-1587
Phone
(717) 632-1234
Fax
(717) 632-2934
NPI assigned
Apr 28, 2011
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Mrs. Gloria Baummer
Title
Office Manager
Phone
(717) 632-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD035407E PA Primary

Addresses

Primary practice location

250 Fame Ave
Suite 205B
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite 205B
Hanover, PA 17331-1587
Phone (717) 632-1234

Other identifiers 1

IdentifierTypeStateIssuer
1025823730001MedicaidPA

National Provider Directory

National Provider Directory

Locations

250 Fame Ave
Ste 205B
Hanover, PA 17331
Phone (717) 632-1234

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1972894608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 205B",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-632-1234",
            "fax_number": "717-632-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 205B",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-632-1234",
            "fax_number": "717-632-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR F MURILLO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "BAUMMER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-632-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD035407E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025823730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.