Provider Demographics
NPI:1427012905
Name:MURPHY, SHERRILL K (MD)
Entity type:Individual
Prefix:
First Name:SHERRILL
Middle Name:K
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 N 72ND ST
Mailing Address - Street 2:SUITE 3300N
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122
Mailing Address - Country:US
Mailing Address - Phone:402-572-3300
Mailing Address - Fax:402-572-3305
Practice Address - Street 1:6901 N 72ND ST
Practice Address - Street 2:SUITE 3300N
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122
Practice Address - Country:US
Practice Address - Phone:402-572-3300
Practice Address - Fax:402-572-3305
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17777207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1917617Medicaid
O60049561OtherPALMETTO - GBA
IAP00737259OtherRR MEDICARE OF IA
NE47076868513Medicaid
IA45523Medicare PIN
O60049561OtherPALMETTO - GBA
IAI10834Medicare PIN
IAP00737259OtherRR MEDICARE OF IA