Provider Demographics
NPI:1629045281
Name:ARMSTRONG MURPHY, MARIA ADORA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ADORA
Last Name:ARMSTRONG 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 1:30575 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1037
Mailing Address - Country:US
Mailing Address - Phone:216-702-6944
Mailing Address - Fax:503-477-7338
Practice Address - Street 1:3700 KOLBE RD
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1611
Practice Address - Country:US
Practice Address - Phone:216-702-6944
Practice Address - Fax:503-477-7338
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-6517-A208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000246163OtherANTHEM BLUE SHIELD
000000246163OtherUNICARE
OR274704Medicaid
OH2303635Medicaid
Q029846OtherHOMETOWN
OH2303635Medicaid
000000246163OtherANTHEM BLUE SHIELD
ORR138214Medicare PIN
Q029846OtherHOMETOWN
ORR151751Medicare PIN