KEVIN L. MURPHY (NPI# 1053390765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053390765 |
| Entity Type | Individual |
| Full Name | KEVIN L. MURPHY |
| Credential | M.D. |
| Practice Address |
1720 Beacon St Fort Wayne IN 46805-4749 |
| Practice Telephone | 2603738000 |
| Practice Fax Number | 2603738034 |
| Mailing Telephone | 2603738000 |
| Mailing Fax Number | 2603738034 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
01045482A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000543921 | 01 |
| IN | RAILROAD MEDICARE | 330004393 | 01 |
| IN | PHYSICIANS HEALTH PLAN | 6942 | 01 |
| IN | RAILROAD MEDICARE | P00466957 | 01 |
| OH | 2566129 | 05 | |
| IN | 200110060 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006468 | Kevin Murphy | Counselor | 2550 Hanover St, Aurora, CO 80010-1177 | 2018-03-12 |
| 1669828232 | Kevin Murphy Jr. | Obstetrics & Gynecology | 3216 N Surging Waters Pl, Tucson, AZ 85712-6627 | 2016-05-12 |
| 1790149052 | Kevin George Murphy | Dentist | 6080 Falls Rd #202, Baltimore, MD 21209-2498 | 2016-04-12 |
| 1356638506 | Kevin Daniel Murphy | Student in an Organized Health Care Education/Training Program | 2315 Stockton., Pssb 2100, Sacramento, CA 95817 | 2011-07-07 |
| 1134424146 | Kevin C. Murphy | Psychologist | 112 N Milwaukee Ave, Suite A3, Libertyville, IL 60048-2234 | 2011-01-21 |
| 1386975506 | Kevin Donal John Murphy | Plastic Surgery | 1920 Country Place Pkwy Ste 300, Pearland, TX 77584-2287 | 2010-01-28 |
| 1154559102 | Kevin Murphy | Counselor | 2324 6th Ave, Ketchikan, AK 99901-5963 | 2009-06-29 |
| 1760636211 | Kevin Thomas Murphy | Acupuncturist | 60 Liberty Ship Way, Suite 4, Sausalito, CA 94965-3309 | 2008-11-11 |
| 1033256979 | Kevin Edward Murphy | Counselor | 335 Chandler St, Worcester, MA 01602-3441 | 2007-01-31 |
| 1346205077 | Kevin Adam Murphy | Optometrist | 305 Shirley Ave, Douglas, GA 31533-2333 | 2006-04-18 |
| Street Address |
1720 BEACON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164401063 | Gladys A. Beale | Psychiatry & Neurology | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2006-01-10 |
| 1902432206 | Amy Silvers | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2020-03-18 |
| 1306472600 | Leah Ellen Hall | Counselor | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2020-03-18 |
| 1518425099 | Josie Jean Dean | Registered Nurse | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2019-03-04 |
| 1407342769 | Thomas Robert Smith | Pharmacist | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2018-07-10 |
| 1881148666 | Jacqueline Brandy Vedder | Marriage & Family Therapist | 1720 Beacon St, Fort Wayne, IN 46805 | 2016-08-09 |
| 1003369273 | Nicholas Todoran | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-07-25 |
| 1093168718 | Melinda Davis | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-07-18 |
| 1265880074 | Shawn Fingerle | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-06-02 |
| 1821459371 | Alexis Makridakis | Physician Assistant | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245648617 | South Central General and Geriatric Psychiatry PC | Psychiatry & Neurology | 8651 Jaffa Court East Dr Apt 11, Indianapolis, IN 46260-5329 | 2014-07-29 |
| 1336440122 | Professional Development Associates, LLC | Psychiatry & Neurology | 1776 Summerlakes Ct, Carmel, IN 46032-9679 | 2010-11-09 |
| 1295742377 | Juan C Cabrera Jr. | Psychiatry & Neurology | 101 Plaza East Blvd Ste 303, Evansville, IN 47715-2871 | 2006-08-02 |
| 1225330285 | Santosh Singh Md, Inc | Psychiatry & Neurology | 1605 W Kem Rd, Marion, IN 46952-1735 | 2010-11-24 |
| 1063739670 | Pu Cheng | Psychiatry & Neurology | 130 N Tillotson Ave, Meridian Health Services Corp., Muncie, IN 47304-3987 | 2010-04-23 |
| 1164587606 | Dewnzar Howard Md | Psychiatry & Neurology | 701 Superior Ave, Suite K, Munster, IN 46321-4037 | 2006-12-26 |
| 1225030083 | Padmaja C Rao | Psychiatry & Neurology | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-11 |
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on KEVIN L. MURPHY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.