TIMOTHY ROBERT MURRAY (NPI# 1811953904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811953904 |
| Entity Type | Individual |
| Full Name | TIMOTHY ROBERT MURRAY |
| Credential | MD |
| Practice Address |
95 Montgomery Dr Ste 104 Santa Rosa CA 95404-6617 |
| Mailing Address |
Po Box 67000 Department 272801 Detroit MI 48267-2728 |
| Practice Telephone | 7075252902 |
| Practice Fax Number | 7075252904 |
| Mailing Telephone | 5177823190 |
| Mailing Fax Number | 5177821223 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 34748 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
34748 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
34748 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4301072911 | MI | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
G159696 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | G159696 | 01 |
| MI | RR MEDICARE | 290012232 | 01 |
| MI | 104087628 | 05 | |
| CA | FEDERAL DEA LICENSE | BM5956012 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 N East Ave, Jackson, MI 492011753 | 5177884800 | |
| 34 Mark West Springs Rd Fl 2, Santa Rosa, CA 954031766 | 7075252902 | 7075252904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548462948 | Timothy Robert Murray | Respite Care | 13427 W Paradise Ln, Surprise, AZ 85374-5466 | 2007-06-05 |
| 1588678353 | Timothy John Murray | Chiropractor | 31388 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-07-28 |
| 1891744249 | Timothy Baines Murray | Specialist | 3400 Independence Dr, Birmingham, AL 35209-5604 | 2006-05-10 |
| 1790261741 | Timothy Murray | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
| 1275934309 | Timothy Murray | Specialist/Technologist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2014-09-08 |
| 1891139895 | Timothy Scott Murray Jr. | Nurse Practitioner | 13777 Pearl Rd, Strongsville, OH 44136-4900 | 2013-04-20 |
| 1568665503 | Timothy Murray | Social Worker | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2007-06-07 |
| 1457415655 | Timothy Murray | Counselor | 120 W Main St, Casa Grande, AZ 85222-4820 | 2006-12-21 |
| 1588755573 | Timothy Stephen Murray | Physical Therapist | 5958 Route 25a, Wading River, NY 11792-2001 | 2006-09-27 |
| 1164522538 | Timothy R Murray | Internal Medicine | 2700 Clay Edwards Dr, Suite 240, N Kansas City, MO 64116-3251 | 2006-09-25 |
| Street Address |
95 MONTGOMERY DR STE 104 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-6617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052851 | Vadim Leyenson | Internal Medicine | 95 Montgomery Dr Ste 104, Santa Rosa, CA 95404-6617 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770907917 | Loube Medical Corporation | Internal Medicine | 3622 Orbetello Ct, Santa Rosa, CA 95404-7639 | 2014-02-07 |
| 1205158003 | Ralph E Dilisio Md Fccp Inc. | Internal Medicine | 585 W College Ave Ste A, Santa Rosa, CA 95401-5060 | 2010-02-19 |
| 1972729093 | Sharad Kumar Sharma | Internal Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2007-04-17 |
| 1093748444 | Eugene Belogorsky M.d. Inc | Internal Medicine | 585 W College Ave, Suite A, Santa Rosa, CA 95401-5000 | 2006-07-09 |
| 1184657538 | Eugene Belogorsky | Internal Medicine | 585 W College Ave, Suite A, Santa Rosa, CA 95401-5000 | 2006-07-09 |
| 1124085378 | Ralph Edward Dilisio | Internal Medicine | 585 W College Ave, Santa Rosa, CA 95401-5000 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.