Healthcare Provider Details

I. General information

NPI: 1427086776
Provider Name (Legal Business Name): MICHAEL MURPHY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 11/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11848 ROCK LANDING DR SUITE 102
NEWPORT NEWS VA
23606-4425
US

IV. Provider business mailing address

103 LAYDON WAY
POQUOSON VA
23662-2223
US

V. Phone/Fax

Practice location:
  • Phone: 757-369-1961
  • Fax: 757-369-1981
Mailing address:
  • Phone: 757-659-0591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101235562
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101235562
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: