Joan E. Hurlock, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD012610E Issued in PA

Legal business name

JOAN E. HURLOCK, MD, LLC

Practice address

5735 Ridge Ave
Suite 105
Philadelphia, PA 19128-1745

Phone

(215) 482-4542

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Joan E Hurlock, MD

Title

Owner

Phone

(215) 482-4542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1225044688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SEVILLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282713",
            "telephone_number": "215-482-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE",
            "address_2": "SUITE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281745",
            "telephone_number": "215-482-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN E. HURLOCK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "HURLOCK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-482-4542",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD012610E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.