James Matthew Kurley Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036076147 Issued in IL

Practice address

2111 W Park CT
Champaign, IL 61821-2986

Phone

(217) 356-3850

Fax

(217) 356-3876

NPI assigned

Oct 10, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1720176274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 MULLIKIN DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228305",
            "telephone_number": "217-355-1380",
            "fax_number": "217-356-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W PARK CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212986",
            "telephone_number": "217-356-3850",
            "fax_number": "217-356-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURLEY",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036076147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076147",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcy Kujawski, MSW, LCSW
• Surina Kumar
• Komal Kumaran, RBT
• Robert A Kunas, DDS MSD
• Jackson Kuo, DDS
• Rachel Kurtz
• Charlene Kyse
• Renee Barbara Labarge-Eifert, LCSW
• Sara Denby Lacox
• Walter Laesch, C.R.N.A.

• Plastic Surgery Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.