Provider Demographics
NPI:1306953120
Name:MURPHY, CHRISTIE LEE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:LEE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:LEE
Other - Last Name:MAZURK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5400 FRANTZ RD STE 250
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6102
Mailing Address - Country:US
Mailing Address - Phone:614-533-6497
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:50 OLD VILLAGE RD STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-5501
Practice Address - Country:US
Practice Address - Phone:614-544-1976
Practice Address - Fax:614-544-1981
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-007422208M00000X
OH34007422M207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2353019Medicaid
OH2353019Medicaid
OHH133353Medicare PIN
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH3600271OtherAKRON GENERAL / IMCA MEDICARE GROUP #
OH1821035940OtherAKRON GENERAL TYPE 2 NPI #
H61101Medicare UPIN