Healthcare Provider Details

I. General information

NPI: 1477187466
Provider Name (Legal Business Name): MATTHEW JAMES MURTHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4363 ALL SEASONS DR STE 240
HILLIARD OH
43026-2048
US

IV. Provider business mailing address

PO BOX 7527
COLUMBUS OH
43207-0527
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-1460
  • Fax: 614-544-1853
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number35.156406
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: