Individual provider Active NPI

Thomas C. Hurlbutt, D.O.

  • Neurology Physician
  • Allentown, PA
National Provider Identifier
1801992615
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS009485L Issued in PA
Practice address
3420 Walbert Ave
Suite 100
Allentown, PA 18104-1700
Phone
(610) 366-9160
Fax
(610) 366-9164
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS009485L PA Primary

Addresses

Primary practice location

3420 Walbert Ave
Suite 100
Allentown, PA 18104-1700

Mailing address

3420 Walbert Ave
Suite 100
Allentown, PA 18104-1700
Phone (610) 366-9160

Other identifiers 1

IdentifierTypeStateIssuer
001647050MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060317000333 PA Practitioner - Neurology 3577540962 Reassigns benefits to 2 organizations
I20180328000907 NJ Practitioner - Neurology 3577540962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC CurrentSince Mar 1, 2018 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 1, 2006 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Mar 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Feb 1, 2006 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Gslpg, Inc CurrentSince Nov 4, 2019 Accepting new patients
St. Luke's Hospital Past Accepting new patients
St. Luke's Hospital Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

3420 Walbert Ave
Allentown, PA 18104
Phone (610) 366-9096

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

3420 Walbert Ave
Unit 100
Allentown, PA 18104
Phone (610) 366-9160

240 Cetronia Rd
Ste 210A
Allentown, PA 18104
Phone (484) 426-2626

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Organizations & group practices 9

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1801992615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 WALBERT AVE",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041700",
            "telephone_number": "610-366-9160",
            "fax_number": "610-366-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 WALBERT AVE",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041700",
            "telephone_number": "610-366-9160",
            "fax_number": "610-366-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBUTT",
        "first_name": "THOMAS",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS009485L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001647050",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.