Provider Demographics
NPI:1841349461
Name:JAMES F MCMURRY JR MD PC
Entity type:Organization
Organization Name:JAMES F MCMURRY JR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCMURRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-468-1820
Mailing Address - Street 1:11119 ROCKVILLE PIKE
Mailing Address - Street 2:STE 409
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3143
Mailing Address - Country:US
Mailing Address - Phone:301-468-1820
Mailing Address - Fax:301-468-1175
Practice Address - Street 1:11119 ROCKVILLE PIKE
Practice Address - Street 2:STE 409
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3143
Practice Address - Country:US
Practice Address - Phone:301-468-1820
Practice Address - Fax:301-468-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD30844207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01828Medicare ID - Type UnspecifiedTRAILBLAZER HEALTH (DC)