Provider Demographics
NPI:1245224187
Name:MURPHY, WINDELL HENRY ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:WINDELL
Middle Name:HENRY ANTHONY
Last Name:MURPHY
Suffix:
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 1:7600 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2511
Mailing Address - Country:US
Mailing Address - Phone:610-734-2145
Mailing Address - Fax:
Practice Address - Street 1:6800 MARKET ST
Practice Address - Street 2:THE MERCY WELLNESS CENTER, GROUND FLOOR
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2412
Practice Address - Country:US
Practice Address - Phone:610-734-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028962E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA32585OtherAETNA / US HEALTHCARE
PA31202OtherKEYSTONE MERCY HEALTH PLA
PA32585OtherAETNA / US HEALTHCARE
PA088894Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER