Individual provider Active NPI

Stanley Derrick Hurtt, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • York, PA
National Provider Identifier
1003973082
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD430814 Issued in PA
Practice address
1001 S George St
Department of Pathology
York, PA 17405-7198
Phone
(717) 851-5001
Fax
(717) 851-5114
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD430814 PA Primary

Addresses

Primary practice location

1001 S George St
Department of Pathology
York, PA 17405-7198

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 738-6414

Other practice location 2

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4120

Other identifiers 11

IdentifierTypeStateIssuer
109291OtherPAGEISINGER HEALTH PLAN YH
1567921OtherPAGATEWAY-WMG
1958779OtherPAHIGHMARK BLUE SHIELD-YH
212178OtherPAUNISON-YH
101886329MedicaidPA
30156216OtherPAAMERIHEALTH CARITAS - GH
207625OtherPAJOHNS HOPKINS-YH
30124654OtherPAAMERIHEALTH MERCY - WSRH
20061846OtherPAAMERIHEALTH MERCY-YH
50068350OtherPACAPITAL BLUE CROSS-YH
7412949OtherPAAETNA-YH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000390 PA Practitioner - Pathology 2062511819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 2961307467, 94 clinicians
The Gettysburg HospitalGroup PAC ID 2769373331, 66 clinicians
Ephrata Community HospitalGroup PAC ID 4981514445, 35 clinicians

Practice addresses (Care Compare)

1001 S George St
York, PA 17403-3676
Phone (717) 851-2345

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 851-1405

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

605 S George St
Suite 200
York, PA 17401-3161
Phone (717) 851-2334

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD430814PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Current Accepting new patients
The Gettysburg Hospital CurrentSince Jul 6, 2013 Accepting new patients
Ephrata Community Hospital CurrentSince Oct 10, 2024 Accepting new patients
Ephrata Community Hospital Anatomic Pathology & Clinical Pathology CurrentSince Oct 10, 2024 Accepting new patients
The Gettysburg Hospital CurrentSince Jul 6, 2013 Accepting new patients
York Hospital CurrentSince Jul 1, 2007 Accepting new patients
York Hospital CurrentSince Jul 1, 2007 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

169 Martin Ave
#1002
Ephrata, PA 17522
Phone (717) 738-6818

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

147 Gettys St
#3786
Gettysburg, PA 17325
Phone (717) 334-4216

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

1001 S George St
York, PA 17403
Phone (717) 812-7687

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1003973082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174057198",
            "telephone_number": "717-851-5001",
            "fax_number": "717-851-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-738-6414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-337-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTT",
        "first_name": "STANLEY",
        "middle_name": "DERRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD430814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN YH",
            "identifier": "109291",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1567921",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD-YH",
            "identifier": "1958779",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-YH",
            "identifier": "212178",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101886329",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS - GH",
            "identifier": "30156216",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS-YH",
            "identifier": "207625",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY - WSRH",
            "identifier": "30124654",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-YH",
            "identifier": "20061846",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-YH",
            "identifier": "50068350",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-YH",
            "identifier": "7412949",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.