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DR. LISA WYNETTE MURPHY MD NPI 1174506315


NPI Information

NPI: 1174506315
Provider Name: DR. LISA WYNETTE MURPHY, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 W COOLIDGE AVE
MODESTO, CA
ZIP 95350
Phone: (209) 577-5005
Get Directions

DR. Lisa Wynette Murphy, MD is an obstetrics gynecology in Modesto, CA with 34 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Lisa Wynette Murphy, MD NPI is 1174506315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

200 W COOLIDGE AVE
MODESTO, CA
ZIP 95350-447
Phone: (209) 577-5005
Fax: (209) 521-1533

The NPI 1174506315 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.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 11/22/2005 and was last updated on 2/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology50015ARIZONANo
2207VG0400XObstetrics & GynecologyGynecology4301056342MICHIGANNo
3207V00000XObstetrics & GynecologyC148024CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160D410050OTHERMICHIGANBLUE CROSS BLUE SHIELD
2160D410050OTHERMICHIGANCOMMUNITY BLUE
34380839MEDICAIDMICHIGAN
4G93281OTHERMICHIGANHEALTH NET FEDERAL SERVIC
50982797OTHERMICHIGANHEALTHPLUS
6203333OTHERMICHIGANHEALTH ADVANTAGE
734649164MEDICAIDMICHIGAN
8C5869OTHERMICHIGANMCARE
901338OTHERMICHIGANAETNA
10160D410050OTHERMICHIGANBLUE CARE NETWORK
11203333OTHERMICHIGANMCLAREN HEALTH PLAN
121602503852OTHERMICHIGANBLUE CROSS BLUE SHIELD
13160D410050OTHERMICHIGANBLUE CHOICE
14G93281OTHERMICHIGANHAP

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: 4/28/2024

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.