Provider Demographics
NPI:1790776987
Name:MURPHY, TIMOTHY P (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:P
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 CATAMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1204
Mailing Address - Country:US
Mailing Address - Phone:401-432-2520
Mailing Address - Fax:401-432-2457
Practice Address - Street 1:20 CATAMORE BLVD
Practice Address - Street 2:RHODE ISLAND MEDICAL IMAGING
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1204
Practice Address - Country:US
Practice Address - Phone:401-432-2520
Practice Address - Fax:401-432-2457
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI77732085R0202X
RI077732085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
003114915OtherCT MED ASSISTANCE
007773OtherTUFTS
300067428OtherRAILROAD MEDICARE
3207773OtherHEALTHY START
004699OtherBLUE CHIP
7002880OtherRIMEDICAL ASSISTANCE
720051101OtherCIGNA
1600203OtherUNITED HEALTH PLANS
3207773OtherMASSMEDICAID
7773OtherFEPBLUE CROSS
007002880OtherHOSPITAL PIN
007773OtherBLUE SHIELD
000000001988OtherNHPRI
240065OtherRIHPILGRIM
240153OtherW & I PILGRIM
300067428OtherRAILROAD MEDICARE
3207773OtherHEALTHY START