Provider Demographics
NPI:1992770614
Name:MURPHY, RICHARD PHILLIP (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PHILLIP
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 1:11704 W CENTER RD
Mailing Address - Street 2:STE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4375
Mailing Address - Country:US
Mailing Address - Phone:402-691-0500
Mailing Address - Fax:402-505-6249
Practice Address - Street 1:11704 W CENTER RD
Practice Address - Street 2:STE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4375
Practice Address - Country:US
Practice Address - Phone:402-691-0500
Practice Address - Fax:402-505-6249
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14688207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NECJ6643OtherRR MEDICARE GROUP
IA09283Medicaid
IA0999334Medicaid
NE0750OtherBCBS PROVIDER NMBR
NE093431OtherNE MEDICARE GROUP
NE14688OtherNE MEDICAL LICENSE
NE47053349212Medicaid
NEAM8378336OtherDEA
IA0999334Medicaid
NE093431OtherNE MEDICARE GROUP
IA09283Medicaid