Sandra Hurtado, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7446 Issued in GA

Practice address

5788 Roswell Rd
Suite 200
Atlanta, GA 30328-4904

Phone

(404) 935-9110

Fax

(770) 234-6803

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Aica Orthopedics, P. C.

  • Clinic/Center
  • Stone Mountain, GA
  • NPI 1528640737
  NPD (past)
• Aica Orthopedics, P. C.

  • Multi-Specialty Clinic/Center
  • Kennesaw, GA
  • NPI 1730532698
  NPD (past)
• Aica Orthopedics, P.C.

  • Multi-Specialty Clinic/Center
  • Lithia Springs, GA
  • NPI 1740692342
  NPD (past)
• Aica Orthopedics, P.C.

  • Clinic/Center
  • Atlanta, GA
  • NPI 1841708682
  NPD (past)
• Ortho Sport & Spine Physicians

  • Surgery Physician
  • Atlanta, GA
  • NPI 1932525375
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1992187033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "404-935-9110",
            "fax_number": "770-234-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "404-935-9110",
            "fax_number": "770-234-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "SANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Douglas Hurst, M.D.
• Kari Loucye Hurt, FNP-C
• Meridy Leigh Hurt
• Susan C Hurt, M.D.
• Ellen Hurtado, PT
• Scarlet Kim Hurtnole, APRN
• Irfan Husain, MD, MPH
• Graham Warren Husband
• Sarine Husein
• Stefanie Hush, PA-C

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.