MURRAY FAMILY MEDICINE PLLC (NPI# 1053773770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053773770 |
| Entity Type | Organization |
| Organization Name | MURRAY FAMILY MEDICINE PLLC |
| Practice Address |
4815 S Center St Murray UT 84107-4814 |
| Practice Telephone | 8012622443 |
| Practice Fax Number | 8012628869 |
| Mailing Telephone | 8012622443 |
| Mailing Fax Number | 8012628869 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | DR. MARK D JOHNSON (OFFICE MANAGER) |
| Authorized Official Telephone | 18012652212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0016571 | UT | Ambulatory Health Care Facilities |
| Street Address |
4815 S CENTER ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342539 | David S Anderson | Physician Assistant | 4815 S Center St, Murray, UT 84107-4814 | 2005-08-10 |
| 1699004341 | Kelli Jan Fife | Physician Assistant | 4815 S Center St, Murray, UT 84107-4814 | 2009-12-09 |
| 1215099155 | Gay J Meyers | Physician Assistant | 4815 S Center St, Murray, UT 84107-4814 | 2006-12-15 |
| 1144212580 | James S Wood | Internal Medicine | 4815 S Center St, Murray, UT 84107-4814 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255886990 | Nathan B Holladay Md Phd Pllc | Clinic/Center | 865 E 4800 S Ste 160, Murray, UT 84107-5507 | 2016-08-23 |
| 1376708669 | James R.m. Pearce M.d., LLC | Clinic/Center | 6095 Fashion Blvd, Suite 240, Murray, UT 84107-7397 | 2008-07-25 |
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|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1942821947 | First Choice Healthcare, LLC | Clinic/Center | 250 N American Way, Brigham City, UT 84302-2074 | 2020-04-30 |
| 1912526294 | Boyer Medical Solutions | Clinic/Center | 2322 N 2080 W, Lehi, UT 84043-4897 | 2020-04-16 |
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1760033443 | Careatc | Clinic/Center | 669 W 200 S, Salt Lake City, UT 84101-1014 | 2019-09-24 |
| 1174006605 | Bristol Palliative Care Services, L.L.C. | Clinic/Center | 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 | 2018-09-11 |
| 1649790080 | Jupiter Medical II LLC | Clinic/Center | 7724 S 5600 W Ste 102, West Jordan, UT 84081-5415 | 2017-06-27 |
| 1932640752 | Indiemed LLC | Clinic/Center | 25 N 2000 W Ste 3, Hurricane, UT 84737-4115 | 2017-03-13 |
| 1649719063 | Sara Arrington, A.p.r.n., P.l.l.c | Clinic/Center | 3110 W 300 N Ste A, West Point, UT 84015-7481 | 2017-02-17 |
| Find all providers with the same taxonomy | ||||
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| 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.