Provider Demographics
NPI:1629354436
Name:MURPHY, RICHARD SANDEFUR (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SANDEFUR
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14098 LARSON DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-6305
Mailing Address - Country:US
Mailing Address - Phone:317-674-6811
Mailing Address - Fax:
Practice Address - Street 1:317 S NORTON ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-3296
Practice Address - Country:US
Practice Address - Phone:765-664-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004126A207QG0300X, 208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1718002OtherMEDICARE PTAN
INM38018008OtherMEDICARE
IN201147510Medicaid