Provider Demographics
NPI:1982634192
Name:JOHN W MURREY
Entity Type:Organization
Organization Name:JOHN W MURREY
Other - Org Name:RADIOLOGY ASSOCIATES OF ATHENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:MURREY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-592-9245
Mailing Address - Street 1:PO BOX 2608
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-5408
Mailing Address - Country:US
Mailing Address - Phone:740-592-6333
Mailing Address - Fax:740-592-9396
Practice Address - Street 1:55 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2302
Practice Address - Country:US
Practice Address - Phone:740-592-6333
Practice Address - Fax:740-592-9396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0487843Medicaid
OH0487843Medicaid