DR. DEREK MCMURRY (NPI# 1649379744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649379744 |
| Entity Type | Individual |
| Full Name | DR. DEREK MCMURRY |
| Credential | CNP |
| Practice Address |
235 Bridle Creek Dr Suite 220 Monroe OH 45050-1487 |
| Practice Telephone | 5136591673 |
| Practice Fax Number | 8645464504 |
| Mailing Telephone | 5136591673 |
| Mailing Fax Number | 8645464504 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
19071 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.14169-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC MEDICAID ID# | NP3213 | 01 |
| Street Address |
235 BRIDLE CREEK DR SUITE 220 |
| City | MONROE |
| State | OH |
| Zip Code | 45050-1487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457708570 | William Obeng Asare | Registered Nurse | 1476 Cold Water Dr, Monroe, OH 45050 | 2016-05-18 |
| 1952749962 | Jarrod Mann | Specialist/Technologist | 320 Macready, Monroe, OH 45050 | 2013-06-12 |
| 1275871949 | Jamie Hill | Licensed Practical Nurse | 2365 Riverstone Way, Monroe, OH 45050 | 2013-01-30 |
| 1427281013 | James S Chan | Emergency Medicine | 262 N Man St Advantage Care Na LLC Dba Monroe Urgent Ca, Monroe, OH 45050 | 2009-08-28 |
| 1174776371 | Naana Boahemaa Badu | Licensed Practical Nurse | 255 Bridle Pass Way, Monroe, OH 45050 | 2008-10-31 |
| 1609098995 | Richard S. Morgan | Dentist | 456 S. Main St., Monroe, OH 45050 | 2007-05-03 |
| 1326532490 | Megan Lynn Sibert | Social Worker | 30 Overbrook Dr, Monroe, OH 45050 | 2018-06-21 |
| 1629569629 | Tricia Nicole Neu | Nurse Practitioner | 20 Overbrook Dr Ste C, Monroe, OH 45050 | 2018-05-24 |
| 1649594631 | Carla Sue Alfrey | Licensed Practical Nurse | 860 Todhunter Rd, Monroe, OH 45050-1033 | 2010-03-18 |
| 1629033816 | George Stuart Wilson Jr. | Specialist/Technologist | 220 Yankee Rd, Monroe, OH 45050-1042 | 2006-04-19 |
| Find all providers in zip 45050 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
| 1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
| 1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
| 1760015572 | Jessica Marie Hartle | Nurse Practitioner | 730 N Macomb St Ste 228, Monroe, MI 48162-3087 | 2020-02-20 |
| Find all providers in MONROE | ||||
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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.