Provider Demographics
NPI:1679599872
Name:DOUGLAS MURPHY, MD, PC
Entity type:Organization
Organization Name:DOUGLAS MURPHY, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TENBARGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-476-7480
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-0264
Mailing Address - Country:US
Mailing Address - Phone:219-322-6835
Mailing Address - Fax:219-322-6836
Practice Address - Street 1:221 SOUTH ROUTE 41
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375
Practice Address - Country:US
Practice Address - Phone:219-322-6835
Practice Address - Fax:219-322-6836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty