Active NPI
Oscar F Murillo, MD, LLC
- Internal Medicine Physician
- Hanover, PA
National Provider Identifier
1972894608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD035407E
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025823730001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.