JOHN MURRAY M.D. NPI 1104869510

NPI Information

  • NPI: 1104869510
  • Provider Name: JOHN MURRAY, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4555 EMERSON ST
    SUITE 230
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 633-0130

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NPI Details

John Murray, M.D. is a plastic and reconstructive surgery surgery in Jacksonville, FL with 32 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. John Murray, M.D. NPI is 1104869510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

4555 EMERSON ST
SUITE 230
JACKSONVILLE, FL
ZIP 32207-966
Phone: (904) 633-0130
Fax: (904) 633-0131

The NPI 1104869510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/14/2006 and was last updated on 2/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
12082S0105XPlastic SurgerySurgery of the Hand0361086341ILLINOISNo
22086S0122XSurgeryPlastic and Reconstructive Surgery0361086341ILLINOISNo
32086S0122XSurgeryPlastic and Reconstructive SurgeryME 107954FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007624400MEDICAIDFLORIDA
2H56475MEDICARE UPINILLINOIS
3L98884MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4149S8OTHERFLORIDABCBSFL
5003130076AMEDICAIDGEORGIA
67215166OTHERILLINOISBCBS
70361086341MEDICAIDILLINOIS
8DT003ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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