Provider Demographics
NPI:1790778322
Name:MURPHY, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SCUDDERS LN
Mailing Address - Street 2:
Mailing Address - City:BARNSTABLE
Mailing Address - State:MA
Mailing Address - Zip Code:02630-1019
Mailing Address - Country:US
Mailing Address - Phone:508-776-1112
Mailing Address - Fax:
Practice Address - Street 1:181 SCUDDERS LN
Practice Address - Street 2:
Practice Address - City:BARNSTABLE
Practice Address - State:MA
Practice Address - Zip Code:02630-1019
Practice Address - Country:US
Practice Address - Phone:508-776-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57141207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA719472OtherTUFTS
MA17719OtherPILGRIM
MA5187101001OtherCIGNA HEALTHCARE
0900047OtherUNITED HEALTH
200019172OtherRR MEDICARE
3187101001OtherCIGNA
J29894OtherBCBS
464732OtherAETNA
464732OtherAETNA
MA17719OtherPILGRIM
MA2065118Medicaid
200019172OtherRR MEDICARE
3187101001OtherCIGNA