Evan B Hurst, MD, Internal Medicine, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01042311 Issued in IN

Legal business name

EVAN B HURST, MD, INTERNAL MEDICINE, PC

Practice address

721 W 13TH St
Suite 322
Jasper, IN 47546-1855

Phone

(812) 309-3055

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Evan B Hurst, MDNPI 1265460935

Title

Owner

Phone

(812) 630-8660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan B Hurst, MD

  • Internal Medicine Physician
  • Jasper, IN
  • NPI 1265460935
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1427482074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470786",
            "telephone_number": "812-309-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "address_2": "SUITE 322",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461855",
            "telephone_number": "812-309-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN B HURST, MD, INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-630-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01042311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Jasper, IN
• Providers in Jasper, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.