Provider Demographics
NPI:1073503256
Name:MURPHY, LAURA ANNE MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE MARGARET
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 GLENDALE AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4510 DORR ST
Practice Address - Street 2:UNIVERSITY OF TOLEDO PHYSICIANS LLC
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-4040
Practice Address - Country:US
Practice Address - Phone:419-383-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.15075R207RC0000X
MA158054207RC0000X
PAMD473771207RC0000X, 207RA0001X
OH35.121794207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0087655Medicaid
TX160072801Medicaid
1073503256OtherNPI
LA1158046Medicaid
PAMD473771OtherPA STATE LICENSE
LAP00046535OtherRAILROAD MEDICARE
AR150157001Medicaid
OHH237670OtherMEDICARE