Healthcare Provider Details

I. General information

NPI: 1508132705
Provider Name (Legal Business Name): MICHAEL A. MURPHY M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2012
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: 757-771-8216
  • 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: DR. MICHAEL ANTHONY MURPHY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 757-771-8216