Basic Information
| Provider Information | |||||||||
| NPI: | 1750362935 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HURLEY | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVENUE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Practice Location | |||||||||
| Address1: | 45 ROADSIDE AVE | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172682542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177627155 | ||||||||
| FaxNumber: | 7177626929 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 02/18/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD037993E | PA | Y | Allopathic & Osteopathic Physicians | Surgery | 2086S0122X | MD037993E | PA | N | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery |
ID Information
| ID | Type | State | Issuer | Description | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 415419-03 | 01 | PA | CAREFIRST (MD) | OTHER | 8605680 | 01 | PA | AETNA HMO | OTHER | 001082136 0007 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | FIRST HEALTH | OTHER | 296896 | 01 | PA | UNISON (SBCS) | OTHER | 70158 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | 1750362935 | 01 | PA | HEALTH AMERICA | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 50092804 | 01 | PA | CAPITAL BLUECROSS (SBCS) | OTHER | 6121061 | 01 | PA | AETNA HMO | OTHER | 0010821360004 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 4284504 | 01 | PA | AETNA NON-HMO | OTHER | 2191575 | 01 | PA | MAMSI | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | MD037993E | 01 | PA | LICENSE | OTHER | V044-0001 | 01 | PA | CAREFIRST (DC) | OTHER | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 120420423 | 01 | PA | DEPT OF LABOR | OTHER | 289750 | 01 | PA | UNISON (SCSA) | OTHER | 001082136 0008 | 05 | PA | MEDICAID | 1496701 | 01 | PA | CAPITAL BLUECROSS (SCSA) | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | BH8076562 | 01 | PA | DEA | OTHER |