Provider Demographics
NPI:1023010741
Name:MURPHY, JAMES CLARKE III (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CLARKE
Last Name:MURPHY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 ELVATON CT
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6763
Mailing Address - Country:US
Mailing Address - Phone:443-354-3856
Mailing Address - Fax:443-433-0264
Practice Address - Street 1:7801 ELVATON CT
Practice Address - Street 2:SUITE 4
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6763
Practice Address - Country:US
Practice Address - Phone:443-354-3856
Practice Address - Fax:443-433-0264
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22737174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD255271000Medicaid
MD255271000Medicaid
MDD76772Medicare UPIN