Provider Demographics
NPI:1649433244
Name:MURPHY, ANGELA MARIE (DO)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:MARIE
Other - Last Name:RITCHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:24700 LORAIN RD
Mailing Address - Street 2:ST. 207
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070
Mailing Address - Country:US
Mailing Address - Phone:440-779-5505
Mailing Address - Fax:440-779-1342
Practice Address - Street 1:24700 LORAIN RD
Practice Address - Street 2:ST 207
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070
Practice Address - Country:US
Practice Address - Phone:440-779-5505
Practice Address - Fax:440-779-1342
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009987207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0053684Medicaid