Provider Demographics
NPI:1144269366
Name:MCMURTRIE, ROBERT JR (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:MCMURTRIE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:420 S 5TH AVE
Practice Address - Street 2:D1
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-2143
Practice Address - Country:US
Practice Address - Phone:484-628-6283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-010397-L207LP2900X
NJ25MB07488400207LP2900X
DEC2-0006925207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1144269366OtherBRAVO
NJ1208801OtherAETNA
PA23-2919275OtherDEVON
PA50052988OtherCAPTIAL BLUE CROSS
PA751462OtherPA BLUE SHIELD
PA8077883OtherCIGNA
PA22-1994560OtherDEVON
PA22-1994560OtherHEALTH AMERICA/HEALTH ASSURANCE
PA22-1994560OtherUNITED HEALTHCARE/OXFORD
PA22-1994560OtherPROCURA MANAGEMENT
PA50059325OtherCAPITAL BLUE CROSS
PA5738460OtherFIRST HEALTH NETWORK
PAP00115691OtherRAILROAD MEDICARE
PA22-1994560OtherFIRST MCO
PA30028251OtherKEYSTONE MERCY
NJ1169169OtherAETNA
PA22-1994560OtherGREAT WEST HEALTHCARE
PA23-2919275OtherHEALTH AMERICA/HEALTH ASSURANCE
NJ23-2919275OtherHORIZON BLUE CROSS BLUE SHIELD
NJ22-1994560OtherUNITED HEALTHCARE/OXFORD
NJ23-2919275OtherFIRST MCO
PA3801629OtherAETNA
PA0450856000OtherKEYSTONE HEALTH PLAN EAST
PA100819591Medicaid
NJ22-1994560OtherFIRST MCO
NJ23-2919275OtherUNITED H EALTHCARE/OXFORD
PA999332OtherUPMC HEALTH PLAN
PA0450856000OtherAMERIHEALTH AND KHPE
PA23-2919275OtherFIRST MCO
PA23-2919275OtherPROCURA MANAGEMENT
PADD1386OtherRAILROAD MEDICARE (GROUP)
NJ22-1994560OtherHORIZON BLUE CROSS BLUE SHIELD
PA23-2919275OtherUNITED HEALTHCARE/OXFORD
PA23-2919275OtherGREAT WEST HEALTHCARE
PA30027053OtherKEYSTONE MERCY
PA3250679OtherAETNA
PA751462OtherPERSONAL CHOICE
NJ22-1994560OtherFIRST MCO
NJ1208801OtherAETNA
PA22-1994560OtherDEVON
PA22-1994560OtherUNITED HEALTHCARE/OXFORD
NJ22-1994560OtherUNITED HEALTHCARE/OXFORD
PA30028251OtherKEYSTONE MERCY
PA100819591Medicaid
NJ174115RUZMedicare PIN
PA031568GDNMedicare PIN