Provider Demographics
NPI:1316996739
Name:MURROW, JOSEPH T (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:T
Last Name:MURROW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:6400 DUTCHMANS PKWY STE 300
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3350
Practice Address - Country:US
Practice Address - Phone:502-894-2444
Practice Address - Fax:502-894-2445
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16291207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
086160OtherSIHO - NCMA
50014595OtherPASSPORT - NCMA
KYP00394803OtherRRMCR - NCMA
2837771000OtherPAD - NCMA
KY64162910Medicaid
000000495870OtherANTHEM - NCMA
000000495870OtherANTHEM - NCMA
KYP00394803OtherRRMCR - NCMA