Active NPI
James Raymond Hurley, DC
- Chiropractor
- Connellsville, PA
National Provider Identifier
1265492383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004033L
- Practice address
- 2620 Memorial Blvd
Suite E
Connellsville, PA 15425-1488 - Phone
- (724) 626-8890
- Fax
- (724) 626-2983
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004033L | PA | Primary |
Addresses
Primary practice location
2620 Memorial Blvd
Suite E
Connellsville, PA 15425-1488
Mailing address
4020 Adelaide HLS
Connellsville, PA 15425-6222
Phone (724) 626-2044
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011633880002 | Medicaid | PA | |
| JR711503 | Other | PA | GROUP NUMBER |
| 62156 | Other | PA | UNISON |
| 0004542737 | Other | PA | AETNA INSURANCE |
| 0012691440002 | Medicaid | PA | |
| 309990 | Other | PA | UPMC |
| 1500256 | Other | PA | GATEWAY |
| 415912 | Other | PA | HEALTH AMERICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004033L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265492383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 ADELAIDE HLS",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154256222",
"telephone_number": "724-626-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 MEMORIAL BLVD",
"address_2": "SUITE E",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154251488",
"telephone_number": "724-626-8890",
"fax_number": "724-626-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "JAMES",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004033L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011633880002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "JR711503",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "62156",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "0004542737",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012691440002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "309990",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1500256",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "415912",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Connellsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.