TED A MCMURRY, MD - NPI NUMBER 1437265139

Summary

Provider Name: TED A MCMURRY, MD

NPI Number: 1437265139

Clasification: Emergency Medicine (207P00000X)

Address:
1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804

Phone Number: (417) 820-2000



Detailed Information

Ted A Mcmurry, MD is an emergency physician in Springfield, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. The assigned NPI number for this provider is 1437265139 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804-203
Phone: (417) 820-2000

The enumeration date for this NPI number is 8/22/2006 and was last updated on 5/16/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207P00000X Emergency Medicine R5N79 MO Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 E66046 MEDICARE UPIN
2 418050041 MEDICARE PIN
3 207522608 MEDICAID MO

NPI Record

No. Field Name Field Value
1 NPI 1437265139
2 Entity Type Code 1
3 Provider Last Name Legal Name MCMURRY
4 Provider First Name TED
5 Provider Middle Name A
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 1235 E CHEROKEE ST
8 Provider Business Practice Location Address City Name SPRINGFIELD
9 Provider Business Practice Location Address State Name MO
10 Provider Business Practice Location Address Postal Code 658042203
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4178202000
13 Provider Enumeration Date 8/22/2006
14 Last Update Date 5/16/2013
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 207P00000X
17 Provider License Number 1 R5N79
18 Provider License Number State Code 1 MO
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Other Provider Identifier 1 E66046
21 Other Provider Identifier Type Code 1 02
22 Other Provider Identifier 2 418050041
23 Other Provider Identifier Type Code 2 08
24 Other Provider Identifier 3 207522608
25 Other Provider Identifier Type Code 3 05
26 Other Provider Identifier State 3 MO
27 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.