STEPHANIE M MURPHY (NPI# 1972895803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972895803 |
| Entity Type | Individual |
| Full Name | STEPHANIE M MURPHY |
| Credential | PA-C |
| Practice Address |
4656 40th Ave S Fargo ND 58104-4397 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7012348860 |
| Practice Fax Number | 7012348924 |
| Mailing Telephone | 7012342119 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2014-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0549 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0779 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 71306 | 05 | |
| ND | 71392 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556267 | Stephanie Marie Murphy | Licensed Practical Nurse | 35 Admiral Halsey Rd, Plymouth, MA 02360-1815 | 2020-10-22 |
| 1447759089 | Stephanie Murphy | Physical Therapy Assistant | 14311 Brandermill Woods Trl, Midlothian, VA 23112-4124 | 2018-02-09 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1003322496 | Stephanie Murphy | Registered Nurse | 67 Miller St, Rochester, NY 14605-1560 | 2017-12-20 |
| 1417494618 | Stephanie Murphy | Registered Nurse | 3540 Normandy Rd, Shaker Heights, OH 44120-5243 | 2017-01-25 |
| 1922543826 | Stephanie L. Murphy | Chiropractor | 220 N 7th St, Pacific, MO 63069-1202 | 2016-12-30 |
| 1558989103 | Stephanie Murphy | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| 1588225817 | Stephanie Murphy | Student in an Organized Health Care Education/Training Program | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2019-06-26 |
| 1568957249 | Stephanie Murphy | Nurse Practitioner | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2018-06-26 |
| 1659877835 | Stephanie P. Murphy | Occupational Therapy Assistant | 308 S Manning Blvd, Albany, NY 12208-1708 | 2018-04-05 |
| Street Address |
4656 40TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639121304 | Thomas J Matzke | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2006-05-17 |
| 1669939658 | Jessica Adeline Satrom | Physician Assistant | 4656 40th Ave S, Fargo, ND 58104-4397 | 2019-02-26 |
| 1528595790 | Brianna Lynn Strube | Physician Assistant | 4656 40th Ave S, Fargo, ND 58104-4397 | 2017-05-17 |
| 1225440324 | Ryan Bogner | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2014-05-22 |
| 1952641987 | Palak Patel | Physician Assistant | 4656 40th Ave S, Fargo, ND 58104 | 2013-02-28 |
| 1518247816 | Sanford Medical Center Fargo | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2011-08-18 |
| 1952539223 | Tania Marie Gonzalez Santiago | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2009-06-25 |
| 1689836975 | Meritcare Medical Group | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4394 | 2008-06-27 |
| 1609040427 | Joanne Ruth Montgomery | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2008-04-14 |
| 1932126919 | Judith L Reese | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
| 1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
| 1861419723 | Catherine M Garvey | Physician Assistant | 2801 University Dr S, Fargo, ND 58103-6029 | 2006-07-16 |
| 1881148005 | Kali Luecke | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2016-08-04 |
| 1215480009 | Jason Byrne Smith | Physician Assistant | 801 Broadway N, Fargo, ND 58102-3641 | 2016-07-27 |
| 1659758381 | Sarah Winter | Physician Assistant | 1702 University Dr S, Fargo, ND 58103-4940 | 2015-05-01 |
| 1861801763 | Lisa Lynn Froemke | Physician Assistant | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-08-05 |
| 1033525365 | Kathryn Gray | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2014-07-08 |
| 1326462490 | Shannon Lynn Gullingsrud | Physician Assistant | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-02-10 |
| 1467722702 | Yan Tesch | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2012-01-04 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.