Hurley Health Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HURLEY HEALTH SERVICES

Doing business as

Hurley Health Services Urgent Care Clinic

Practice address

1794 N Lapeer Rd
Suite D
Lapeer, MI 48446-7664

Phone

(810) 245-1800

Fax

(810) 969-4407

NPI assigned

Feb 17, 2012

Last updated

Jun 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Buterakos

Title

Executive Director

Phone

(810) 262-2160

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Hurley Health Services Urgent Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hurley Health Services

  • Family Medicine Physician
  • Clio, MI
  • NPI 1558302497

  O20040417000547

  Same enrollment

Locations

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Kay Bassi, CNM

  • Advanced Practice Midwife
  • Saginaw, MI
  • NPI 1457022055
  NPD
• Roxanne M. Buterakos, CNP

  • Nurse Practitioner
  • Flint, MI
  • NPI 1588643175
  NPD
• Lauren Elyse Clever, MD

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1164080776
  NPD
• Sierra Cuthpert, D.O.

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1104171297
  NPD
• Thair Tallo Dawood, M.D.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1467716597
  NPD
• Gabriella Dillon

  • Nurse Practitioner
  • Flint, MI
  • NPI 1063940302
  NPD
• Kellie Renee Donastorg, FNP-C

  • Family Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1588184436
  NPD
• Zachary J Hillman, D.O.

  • Family Medicine Physician
  • Lapeer, MI
  • NPI 1336301647
  NPD
• Holly Nicole Hinsberger, FNP-C

  • Family Nurse Practitioner
  • Lapeer, MI
  • NPI 1831638790
  NPD
• Nayantara Jnananand, M.D.

  • Family Medicine Physician
  • Canton, MI
  • NPI 1013128925
  NPD
• Elise Langley, FNP-C

  • Family Nurse Practitioner
  • Oscoda, MI
  • NPI 1114465952
  NPD
• Susan Louise Lyons, FNP

  • Family Nurse Practitioner
  • Lake Orion, MI
  • NPI 1114290343
  NPD

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1164795357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S LINDEN RD",
            "address_2": "SUITE 210",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324073",
            "telephone_number": "810-262-2160",
            "fax_number": "810-732-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 N LAPEER RD",
            "address_2": "SUITE D",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484467664",
            "telephone_number": "810-245-1800",
            "fax_number": "810-969-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLEY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "BUTERAKOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-262-2160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0M32030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM URGENT CARE GROUP PIN",
            "identifier": "OB50731",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP #",
            "identifier": "70-0-B5-1070-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OD40125",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "OM32030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurley Health Services Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danyelle Howland
• HQ of Lapeer LLC
• Benjamin Michael Huber, DO
• Blair Hudson
• Tamara L Huhta-Rezanka
• Hurley Medical Center (Lapeer Family Care)
• Hurley Medical Center (Hurley Lapeer Urgent Care)
• Huron Pointe OB-GYN PC
• Murtaza Shabbir Hussain, MD
• Sydney Hyde

• Clinic/Center in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.