Individual provider Active NPI

Wayne Edward Hurley, M.D.

  • Specialist
  • Tacoma, WA
National Provider Identifier
1780807396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00024515 Issued in WA
Practice address
4218 S Steele St
Tacoma, WA 98409-7312
Phone
(253) 682-4100
Fax
(253) 472-4140
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00024515 WA Primary

Addresses

Primary practice location

4218 S Steele St
Tacoma, WA 98409-7312

Mailing address

4218 S Steele St
Tacoma, WA 98409-7312
Phone (253) 682-4100

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00024515WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
U.S. Healthworks Medical Group of Washington, PS Past Accepting new patients
South Hill General Medical Clinic PastSince Oct 10, 2015 Accepting new patients
Pacific County Hospital District 2 PastSince Aug 1, 2012 Accepting new patients
Clallam County Public Hospital District No 1 Past Accepting new patients
Pacific County Hospital District 2 Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780807396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 S STEELE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097312",
            "telephone_number": "253-682-4100",
            "fax_number": "253-472-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 S STEELE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097312",
            "telephone_number": "253-682-4100",
            "fax_number": "253-472-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "WAYNE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00024515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.