Individual provider Active NPI

Alan Wayne Hurty II, M.D.

  • Cardiovascular Disease Physician
  • McMinnville, OR
National Provider Identifier
1225020191
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD18801 Issued in OR
Practice address
2700 SE Stratus Ave
Suite 303
McMinnville, OR 97128-6255
Phone
(503) 472-0101
Fax
(503) 472-6363
NPI assigned
Aug 17, 2005
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD18801 OR Primary

Addresses

Primary practice location

2700 SE Stratus Ave
Suite 303
McMinnville, OR 97128-6255

Mailing address

PO Box 1006
Carlton, OR 97111-1006
Phone (503) 472-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040515000556 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931199478 Reassigns benefits to 4 organizations
I20200519002876 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931199478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Doctors Park
Galax, VA 24333-2277
Phone (276) 236-9953

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Jan 24, 2020 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Jan 24, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Jul 25, 2022 Accepting new patients
Bay Area Hospital District CurrentSince Jul 25, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Oct 27, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Oct 27, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 27, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 27, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Clinics LLC CurrentSince Nov 29, 2021 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
DLP Twin County Physician Practices LLC Past Accepting new patients
Northwest Cardiovascular Institute, LLP Cardiovascular Disease Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

105 Doctors Park
Galax, VA 24333
Phone (276) 236-5187

106 Doctors Park
Galax, VA 24333
Phone (276) 236-5161

225 Hospital Dr
Galax, VA 24333
Phone (276) 236-6906

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Interoperability endpoints

  • Direct secure messaging: alan.hurty.1@10112.direct.athenahealth.com
  • Direct secure messaging: alan.hurty.1@1497.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 2

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1225020191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971111006",
            "telephone_number": "503-472-0101",
            "fax_number": "503-472-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "address_2": "SUITE 303",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-472-0101",
            "fax_number": "503-472-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTY",
        "first_name": "ALAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD18801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.