Individual provider Active NPI

Mark Michael Murray, DO

  • Pediatrics Physician
  • Corpus Christi, TX
National Provider Identifier
1992226047
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S5443 Issued in TX
Practice address
14041 Northwest Blvd Ste 1
Corpus Christi, TX 78410-5138
Phone
(361) 767-9963
Fax
(361) 767-1382
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S5443 TX Primary

Addresses

Primary practice location

14041 Northwest Blvd Ste 1
Corpus Christi, TX 78410-5138

Mailing address

277 Buddy Ganem Dr Ste a
Portland, TX 78374-3202
Phone (361) 777-3900

Other practice location 1

14 Medical Park, Ste 400
Children's Hospital Outpatient Center
Columbia, SC 29203
Phone (803) 434-6155

Other practice location 2

2110 W Slaughter Ln Ste 185
Austin, TX 78748-5992
Phone (512) 647-6049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20171103002291 SC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0446516678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
S5443TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc PastSince Jul 1, 2020 Accepting new patients
Almouie Pediatrics Pediatrics PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992226047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 BUDDY GANEM DR STE A",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743202",
            "telephone_number": "361-777-3900",
            "fax_number": "361-777-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 NORTHWEST BLVD STE 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105138",
            "telephone_number": "361-767-9963",
            "fax_number": "361-767-1382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Medical Park, Ste 400",
            "address_2": "Children's Hospital Outpatient Center",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-6155",
            "fax_number": "803-434-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 W Slaughter Ln Ste 185",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485992",
            "country_code": "US",
            "telephone_number": "512-647-6049",
            "fax_number": "210-579-1852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MARK",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S5443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.