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DR. JERALD E HURDLE D.O. NPI 1184648784


NPI Information

NPI: 1184648784
Provider Name: DR. JERALD E HURDLE, D.O.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
13 RAILROAD SQ
SUITE 1
WATERVILLE, ME
ZIP 04901
Phone: (207) 877-9562
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DR. Jerald E Hurdle, D.O. is a colon rectal surgery in Waterville, ME with 20 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Jerald E Hurdle, D.O. NPI is 1184648784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2004

The provider's business location address is:

13 RAILROAD SQ
SUITE 1
WATERVILLE, ME
ZIP 04901-139
Phone: (207) 877-9562
Fax: (207) 877-9560

The NPI 1184648784 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 7/27/2006 and was last updated on 10/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine34-00-8598OHIONo
2208C00000XColon & Rectal Surgery2163MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HU4178372MEDICARE ID-TYPE UNSPECIFIEDOHIOMILFORD MEDICARE #
2I49754MEDICARE UPINOHIO
3HU4178375MEDICARE ID-TYPE UNSPECIFIEDOHIODAYTON MEDICARE #
4HU4178371MEDICARE ID-TYPE UNSPECIFIEDOHIOSPRINGDALE MEDICARE #
5HU4178376MEDICARE ID-TYPE UNSPECIFIEDOHIOCOLERAIN MEDICARE #
6HU4178377MEDICARE ID-TYPE UNSPECIFIEDOHIOFAIRBORN MEDICARE #
7HU4178373MEDICARE ID-TYPE UNSPECIFIEDOHIOMIDDLETOWN MEDICARE #
8HU4178374MEDICARE ID-TYPE UNSPECIFIEDOHIOKETTERING MEDICARE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.