Active NPI
Hurley Medical Center
- Geriatric Medicine (Internal Medicine) Physician
- Flint, MI
National Provider Identifier
1881043065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- HURLEY MEDICAL CENTER
- Doing business as
- Hurley Geriatric Services
- Practice address
- 1 Hurley PLZ
Flint, MI 48503-5902 - Phone
- (810) 262-9255
- NPI assigned
- Jun 8, 2016
- Organization subpart
- Yes
- Parent organization
- HURLEY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Ecker
- Title
- Director, Professional Billing
- Phone
- (810) 262-9952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
1 Hurley PLZ
Flint, MI 48503-5902
Mailing address
1 Hurley PLZ
Professional Billing Department
Flint, MI 48503-5902
Phone (810) 262-9255
Other names 1
- Hurley Geriatric Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000375 | MI | Part B Supplier - Clinic/Group Practice | 2961308481 |
Receives reassigned benefits from 584 practitioners 26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Flint, MI; Grand Blanc, MI; Lapeer, MI; Fenton, MI; Durand, MI; Burton, MI |
Other NPIs on the same Medicare enrollment 26
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Medical Toxicology (Emergency Medicine) Physician
- Flint, MI
- NPI 1629743331
O20031208000375
National Provider Directory
National Provider Directory- Part of
- Hurley Clinical Psychia
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Flint, MI
- NPI 1538634548
-
- Physician Assistant
- Owosso, MI
- NPI 1043257223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1881043065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"address_2": "PROFESSIONAL BILLING DEPARTMENT",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "810-262-9255",
"fax_number": "810-262-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "810-262-9255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURLEY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HURLEY MEDICAL CENTER",
"enumeration_date": "2016-06-08",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "ECKER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR, PROFESSIONAL BILLING",
"authorized_official_telephone_number": "810-262-9952"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hurley Geriatric Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.