Provider Demographics
NPI:1336183854
Name:MURPHY, JAMES J (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 W PARK ST STE 200
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-2359
Mailing Address - Country:US
Mailing Address - Phone:217-337-3874
Mailing Address - Fax:217-337-3870
Practice Address - Street 1:1405 W PARK ST STE 200
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-2359
Practice Address - Country:US
Practice Address - Phone:217-337-3874
Practice Address - Fax:217-337-3870
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061032A207X00000X
IL036108372207XX0004X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1555908Medicaid
IN200524840Medicaid