Provider Demographics
NPI:1568492973
Name:MURPHY, TODD W (MD)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:W
Last Name:MURPHY
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 1:6505 E CENTRAL AVE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1924
Mailing Address - Country:US
Mailing Address - Phone:316-201-7903
Mailing Address - Fax:
Practice Address - Street 1:6505 E CENTRAL AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1924
Practice Address - Country:US
Practice Address - Phone:316-201-7903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-283612086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1508042367OtherGROUP NPI#
KS200551630AMedicaid
KS200551630CMedicaid
KS200551630AMedicaid
KS110173035Medicare PIN