Provider Demographics
NPI:1215950977
Name:MCMURRY, NORMAN K (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:K
Last Name:MCMURRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:N
Other - Middle Name:KEITH
Other - Last Name:MCMURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3301 C ST
Mailing Address - Street 2:SUITE #200-E
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3300
Mailing Address - Country:US
Mailing Address - Phone:916-447-6267
Mailing Address - Fax:916-447-0621
Practice Address - Street 1:3301 C ST
Practice Address - Street 2:SUITE #200-E
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3300
Practice Address - Country:US
Practice Address - Phone:916-447-6267
Practice Address - Fax:916-447-0621
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50990174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABM155WOtherMEDICARE PTAN
CABM155YOtherMEDICARE PTAN
CABM155ZOtherMEDICARE PTAN
CABM155XOtherMEDICARE PTAN
CABM155TOtherMEDICARE PTAN
CABM155SOtherMEDICARE PTAN
CA00A509900Medicaid
CABM155UOtherMEDICARE PTAN
CABM155VOtherMEDICARE PTAN
CAF36133Medicare ID - Type Unspecified
CA00A509900Medicaid
CABM155ZOtherMEDICARE PTAN