Provider Demographics
NPI:1093902199
Name:CARSON CITY NEPHROLOGY, MICHAEL MURPHY, MD, INC.
Entity Type:Organization
Organization Name:CARSON CITY NEPHROLOGY, MICHAEL MURPHY, MD, INC.
Other - Org Name:CARSON CITY NEPHROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-883-1151
Mailing Address - Street 1:415 W SOPHIA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-8804
Mailing Address - Country:US
Mailing Address - Phone:775-883-1151
Mailing Address - Fax:
Practice Address - Street 1:415 W SOPHIA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-8804
Practice Address - Country:US
Practice Address - Phone:775-883-1151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10272207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
39922Medicare PIN