Healthcare Provider Details

I. General information

NPI: 1619904646
Provider Name (Legal Business Name): CARLA ELIZABETH MURPHY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. CARLA ELIZABETH MCKAY

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 W 38TH AVE EMERGENCY DEPARTMENT, EXEMPLA LUTHERAN MEDICAL CENTER
WHEAT RIDGE CO
80033-6005
US

IV. Provider business mailing address

1196 PRESERVE CIR
GOLDEN CO
80401-7045
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-2087
  • Fax: 303-467-8894
Mailing address:
  • Phone: 303-324-9463
  • Fax: 303-526-9873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number28098
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier01280981
Identifier TypeMEDICAID
Identifier StateCO
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: