Provider Demographics
NPI:1760593115
Name:JAMES PATRICK MURPHY MD PSC
Entity Type:Organization
Organization Name:JAMES PATRICK MURPHY MD PSC
Other - Org Name:MURPHY PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-736-3636
Mailing Address - Street 1:3020 EASTPOINT PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4185
Mailing Address - Country:US
Mailing Address - Phone:502-736-3636
Mailing Address - Fax:502-736-3637
Practice Address - Street 1:207 SPARKS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-0600
Practice Address - Country:US
Practice Address - Phone:812-284-4357
Practice Address - Fax:502-736-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCH9678OtherMEDICARE RAILROAD
KY6195520001Medicare NSC
KY7353Medicare PIN