Alan Wayne Hurty II, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · McMinnville, OR
NPI 1225020191 · NPPES record last updated Jun 24, 2010
Key facts
- NPI
- 1225020191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD18801 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Oregon Health Sciences University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DLP Twin County Physician Practices LLC
Practice addresses (Care Compare)
105 Doctors Park
Galax, VA 24333-2277
Phone (276) 236-9953
Hospital & facility affiliations
- Twin County Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040515000556 | OR | Practitioner - Cardiovascular Disease (Cardiology) |
9931199478 | Reassigns benefits to 4 organizations |
| I20200519002876 | VA | Practitioner - Cardiovascular Disease (Cardiology) |
9931199478 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current |
Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients | |
| DLP Twin County Physician Practices LLC | Current | Accepting new patients | |
| DLP Twin County Physician Practices LLC | Current |
Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current |
Accepting new patients | |
| Legacy Clinics LLC | Current |
Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| DLP Twin County Physician Practices LLC | Current |
Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Northwest Cardiovascular Institute, LLP | Cardiovascular Disease | Past | Accepting new patients |
| DLP Twin County Physician Practices LLC | 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
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554
1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
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
225 Hospital Dr
Galax, VA 24333
Phone (276) 236-6906
105 Doctors Park
Galax, VA 24333
Phone (276) 236-5187
961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931
106 Doctors Park
Galax, VA 24333
Phone (276) 236-5161
Interoperability endpoints
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- alan.hurty.1@1497.direct.athenahealth.com
- alan.hurty.1@10112.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD18801 | OR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069000 | Medicaid | OR |
Other providers in McMinnville, OR
- Gabrielle Anastasia Humlie
- Hunt Family Dental
- Pamela Hunter
- Linda Colleen Hurliman
- Grant Nathan Hurst
- Frank E Huston
- Ashley Pagana Hyder
- Todd Hyder
- Icco, LLC
- Timothy Ide
All providers in McMinnville, OR · Cardiovascular Disease Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.