Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 34110 | TN |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 34110 | TN |
NPI | 1053314096 |
---|---|
Provider Name | Samuel E Murrell III |
First Address | Memphis, TN 38119-5742 |
Second Address | Memphis, TN 38120-4023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000015171 | TLC (01) | TN |
000122467 | (05) | MS |
0033434 | CIGNA (01) | TN |
110318002 | (05) | AR |
129862001 | (05) | AR |
200037801 | RAILROAD MEDICARE (01) | TN |
3144044 | BCBS (01) | TN |
3371161 | (05) | TN |
3851072 | (05) | TN |
5449601 | AETNA (01) | TN |
620819926 | AETNA (01) | TN |
620819926 | BCBS (01) | MS |
620819926 | CIGNA (01) | TN |
620819926 | TRICARE (01) | TN |
7187860 | (05) | MS |
G47988 | (02) | TN |