Provider Demographics
NPI:1508842832
Name:MURPHY, IRA J (MD)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:J
Last Name:MURPHY
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 1:1003 FRED LAGRONE DR
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-4546
Mailing Address - Country:US
Mailing Address - Phone:870-364-3800
Mailing Address - Fax:870-364-3811
Practice Address - Street 1:1003 FRED LAGRONE DR
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-4546
Practice Address - Country:US
Practice Address - Phone:870-364-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9136207V00000X
ARE10563207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR220346001Medicaid
TX043036502Medicaid
H06675Medicare UPIN