Provider Demographics
NPI:1417932260
Name:MURRELL, BARBARA O (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:O
Last Name:MURRELL
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 1:859 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:OH
Mailing Address - Zip Code:43758
Mailing Address - Country:US
Mailing Address - Phone:740-962-6111
Mailing Address - Fax:740-962-2182
Practice Address - Street 1:859 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:OH
Practice Address - Zip Code:43758
Practice Address - Country:US
Practice Address - Phone:740-962-6111
Practice Address - Fax:740-962-2182
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044599M207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH080108299OtherMEDICARE RAILROAD
OH000000019389OtherANTHEM PIN
OH000000177568OtherUNISON PIN
OH0193480OtherUHC PIN
OH0470940Medicaid
OH0470940Medicaid
OH000000177568OtherUNISON PIN