Provider Demographics
NPI:1740452689
Name:WINDELL HA MURPHY, MD FAAO
Entity type:Organization
Organization Name:WINDELL HA MURPHY, MD FAAO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGY/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WINDELL
Authorized Official - Middle Name:HENRY ANTHONY
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-734-2145
Mailing Address - Street 1:6800 MARKET ST
Mailing Address - Street 2:MERCY WELLNESS CENTER
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2412
Mailing Address - Country:US
Mailing Address - Phone:610-734-2145
Mailing Address - Fax:610-352-5389
Practice Address - Street 1:6800 MARKET ST
Practice Address - Street 2:GROUND FLOOR, THE PRISM CAREER CENTER
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2412
Practice Address - Country:US
Practice Address - Phone:610-734-2145
Practice Address - Fax:610-352-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028962E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009915410002Medicaid
PA088894Medicare PIN