Active NPI
David P Hurley Jr., MD
- Plastic and Reconstructive Surgery Physician
- Danville, IL
National Provider Identifier
1891970489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Practice address
- 60 Maywood Dr
Danville, IL 61832-2921 - Phone
- (217) 474-8531
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1043348071
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15936 | GA | MD | Orthopaedic Surgery Physician |
| 036063540 | IL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattahoochee Valley Bone & Joint, Inc. | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | IL | Primary |
Addresses
Primary practice location
60 Maywood Dr
Danville, IL 61832-2921
Mailing address
60 Maywood Dr
Danville, IL 61832-2921
NPI Registry JSON
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1891970489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MAYWOOD DR",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618322921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MAYWOOD DR",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618322921",
"telephone_number": "217-474-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "DAVID",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.