Jerald E Hurdle, D.O.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

2163 Issued in ME

Practice address

13 Railroad SQ
Suite 1
Waterville, ME 04901-6139

Phone

(207) 877-9562

Fax

(207) 877-9560

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Interventional Pain ManagementAlso: Colorectal Surgery (Proctology), Dermatology, Family Practice

Education

Ohio University, College of Osteopathic Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kennebec Medical Consultants LLCGroup PAC ID 3274705538, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Kennebec Medical Consultants LLC

  • Colon & Rectal Surgery Physician
  • Waterville, ME
  • NPI 1821386343
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1184648784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "address_2": "SUITE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-877-9562",
            "fax_number": "207-877-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "address_2": "SUITE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-877-9562",
            "fax_number": "207-877-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURDLE",
        "first_name": "JERALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-8598",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "ME",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Jessica Hudson, O,D,
• Charles L Huerth, LCPC
• Dayle Hughes-Shiverick, PT, MS
• Grace Hughes, DO
• Joshua D Hunt, PT
• Alden Stanton Hurtig
• Zamzam M Hussein, FNP
• Elizabeth Hutton Lykling, M.D.
• Katherine Immler
• Inland Family Practice Associates,LLC

• Colon & Rectal Surgery Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Colon & Rectal Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.