Provider Demographics
NPI:1144213059
Name:MURRAY, DAWN ANGELA (DO)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:ANGELA
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:A
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1049 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1104
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:31891 STATE ROUTE 93
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-9006
Practice Address - Country:US
Practice Address - Phone:740-596-5249
Practice Address - Fax:740-596-4821
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006155M207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
311155352001OtherTRICARE
OH0147433Medicaid
OH000000118710OtherANTHEM
311155352OtherAETNA
0103094OtherUNITED HEALTHCARE
311155352OtherEV BENEFITS
311155352OtherCIGNA/CONN. GEN
311155352OtherPPO NEXT
OH311155352OtherOHIO HEALTH CHOICE
OHMU2016415Medicaid
OH000000118710OtherANTHEM
OHMU2016413Medicare PIN
OHMU2016411Medicare PIN
OHMU2016415Medicare PIN
OH0147433Medicaid
OHMU2016412Medicare PIN