J. David Hurtado, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21035 Issued in AZ

Practice address

525 N 18TH St Ste 402
Phoenix, AZ 85006-3746

Phone

(602) 253-2813

Fax

(602) 253-2815

NPI assigned

Dec 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6156/brand/1/csg/1/fhir/r4

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.

• J. David Hurtado, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1629064993

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1528243243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 18TH ST STE 402",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063746",
            "telephone_number": "602-253-2813",
            "fax_number": "602-253-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 18TH ST STE 402",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063746",
            "telephone_number": "602-253-2813",
            "fax_number": "602-253-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "J. DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "21035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115560",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PC ACE ID",
            "identifier": "AZ04206",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Karlie Hurst
• Lisa M Hurst, M.D.
• McKenzie Hurst
• Cole Michael Carter Hurt, DPT
• Kathlynn H Hurt, PA-C
• Stephanie A Hurtt, DPT
• Ahmar Husain, MD
• Anita Mahmood Husain
• Nadeem M Husain, M.D.
• Laura Lee Huser, PH.D.

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.