Provider Demographics
NPI:1275580631
Name:MURRAY, MARY K (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:K
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 W. MARKET ST.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-4234
Mailing Address - Country:US
Mailing Address - Phone:330-873-9700
Mailing Address - Fax:330-873-9702
Practice Address - Street 1:2603 W. MARKET ST.
Practice Address - Street 2:SUITE 210
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-4234
Practice Address - Country:US
Practice Address - Phone:330-873-9700
Practice Address - Fax:330-873-9702
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35077016208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2715146Medicaid
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH1225212707OtherAKRON BREAST SURGEONS TYPE 2 NPI #
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #