Grant Allen Hurley, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

24232 Issued in CO

Practice address

19021 US Highway 285
La Jara, CO 81140

Phone

(719) 274-5121

Fax

(719) 274-6003

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lutheran Hospital Association of the San Luis Valley

  • Rural Health Clinic/Center
  • La Jara, CO
  • NPI 1942511019
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1346225539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19021 US HIGHWAY 285",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140",
            "telephone_number": "719-274-5121",
            "fax_number": "719-274-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19021 US HIGHWAY 285",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140",
            "telephone_number": "719-274-5121",
            "fax_number": "719-274-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "GRANT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "24232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01242320",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Gay Crowther
• Healthone Clinic Services - Orthopedic Specialists LLC
• Healthone Clinic Services-Surgical Specialties LLC
• Healthone Heart Care LLC
• Colin James Henderson, MD
• Innova Emergency Medical Associates PC
• Alfred Vaughn D Jackson, MD
• Brian Gene Jackson, PAC
• Maria Virginia Jordan, FNP
• Elizabeth B Kinney, MD

• Emergency Medicine Physician in La Jara, CO
• Providers in La Jara, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.