DR. SCOTT DAVID HURLEY (NPI# 1326380247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326380247 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DAVID HURLEY |
| Credential | M.D. |
| Practice Address |
610 N Michigan St Ste 400 South Bend IN 46601-1081 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746478120 |
| Practice Fax Number | 5746478111 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01076098A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01076098A | IN | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
01076098A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300023695 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Northshore University Health System, 2650 Ridge Avenue, Evanston, IL 60201 | 8475701010 | |
| St Joseph Regional Medical Center, 3606 E Jefferson Blvd, South Bend, IN 46615 | 5742334463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010561 | Scott Douglas Hurley | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-5336 | 2018-10-25 |
| 1164627345 | Scott Hurley | Occupational Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2007-06-18 |
| Street Address |
610 N MICHIGAN ST STE 400 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419968 | John P Katsaropoulos | Internal Medicine | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2005-07-07 |
| 1841843000 | Brianne Elizabeth Mahone | Nurse Practitioner | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2019-07-17 |
| 1588135057 | Andrea M Ginter | Nurse Practitioner | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2018-12-10 |
| 1023549052 | Diane Rene Sharkey | Registered Nurse | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2017-03-22 |
| 1003044702 | Mayank Kumar Mittal | Internal Medicine | 610 N Michigan St Ste 400, South Bend, IN 46601 | 2009-07-01 |
| 1558506667 | Daniel Rockwell Tom | Nurse Practitioner | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2008-12-04 |
| 1366404782 | Deepak N Gaba | Internal Medicine | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2006-04-03 |
| 1255327102 | Szabolcs Szabo | Internal Medicine | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2005-09-26 |
| 1558357749 | Lyn M Stevens | Nurse Practitioner | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154392678 | Djavid Hadian | Internal Medicine | 16605 State Road 23, South Bend, IN 46635-1463 | 2006-02-01 |
| 1063419968 | John P Katsaropoulos | Internal Medicine | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2005-07-07 |
| 1093252678 | Hari Gnanasekeram, PC | Internal Medicine | 3602 S Ironwood Dr, Ste 800w, South Bend, IN 46614-2453 | 2017-01-20 |
| 1134564602 | Cardiovascular Wellness Center, LLC | Internal Medicine | 16605 State Road 23, South Bend, IN 46635-1463 | 2013-05-09 |
| 1780859157 | Beacon Medical Group, Inc. | Internal Medicine | 610 N Michigan St, Suite 400, South Bend, IN 46601-1077 | 2008-04-28 |
| 1023053022 | Muhammad Shakil Aslam | Internal Medicine | 610 N Michigan St, Suite 400, South Bend, IN 46601-1077 | 2006-06-17 |
| 1073554994 | Memorial Health System, Inc. | Internal Medicine | 621 Memorial Dr, Suite 608, South Bend, IN 46601-1063 | 2006-06-10 |
| 1366404782 | Deepak N Gaba | Internal Medicine | 610 N Michigan St Ste 400, South Bend, IN 46601-1081 | 2006-04-03 |
| 1306826110 | Daniel Eric Scherb | Internal Medicine | 707 Cedar St, Ste 175, South Bend, IN 46617-2054 | 2006-01-18 |
| 1033109798 | Milton E Gibson | Internal Medicine | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-10-25 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on DR. SCOTT DAVID HURLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.