DOMINIC VINCENT HURLEY


Address: 1301 W 12th Ave Ste 207, Emporia, KS 66801
Phone: 6203424278

DOMINIC VINCENT HURLEY (NPI# 1609872456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609872456
Entity Type Individual
Full Name DOMINIC VINCENT HURLEY
Credential MD
Practice Address 1301 W 12th Ave Ste 207
Emporia
KS 66801
Mailing Address 1201 W 12th Ave
Emporia
KS 66801-2504
Practice Telephone 6203424278
Mailing Telephone 6203436800
Enumeration Date 2005-06-27
Last Update Date 2019-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
27785 IA Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
1974 SD Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
27785 IA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
1974 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD RAILROAD MEDICARE 060057374 01
MN 546090500 05
IA BCBS 07224 01
IA 1955518 05
IA RAILROAD MEDICARE 060063694 01
MN BCBS 19D71HU 01
SD 6001954 05
SD BCBS 0006095 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
409 E Meadowlark Trl, Sioux Falls, SD 571082986 7126352797
1301 W 12th Ave Ste 207, Emporia, KS 66801 6203424278

Office Location

Street Address 1301 W 12TH AVE STE 207
City EMPORIA
State KS
Zip Code 66801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164485124 Michael F Lloyd Internal Medicine 1301 W 12th Ave Ste 207, Emporia, KS 66801 2006-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225539141 Tina Marie Andrade Counselor 1500 Graphic Arts Road, Emporia, KS 66801 2018-02-26
1669918637 Paden Bradley Eveland Physical Medicine & Rehabilitation 1 Kellogg Circle Emporia State University, Emporia, KS 66801 2017-01-13
1932501467 Emily Prouse Dietitian, Registered 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 2014-09-16
1407278112 Kansas Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1215 Merchant St, Emporia, KS 66801 2014-01-15
1508105800 Smith Agency LLC In Home Supportive Care 4245 W. Hwy 50, Emporia, KS 66801 2013-02-06
1891060919 Gould Coates Garcia Internal Medicine 2014 Canterbury Rd, Emporia, KS 66801 2012-03-22
1457511321 Amanda Lee Ruxton Family Medicine 1301 W 12th Ave Ste 101, Emporia, KS 66801 2008-06-13
1821262049 Qi Qiao Joina Wu Counselor 115 West 5th Street, Emporia, KS 66801 2008-04-18
1013189703 Kelly Elizabeth Long Counselor 115 W 5th, Emporia, KS 66801 2008-04-02
1851586275 Hyun Chan Shin Counselor 115 5th Ave, Emporia, KS 66801 2007-09-10
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659810133 Newman Memorial County Hospital Internal Medicine 1201 W 12th Ave, Emporia, KS 66801-2504 2017-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669845111 Smalling Vascular Institute, LLC Internal Medicine 11025 Metcalf Ave, Overland Park, KS 66210-1815 2015-11-05
1760820492 Flint Hills Heart Vascular and Vein Clinic, LLC Internal Medicine 3905 Vanesta Drive, Manhattan, KS 66503-2001 2013-06-04
1316217110 G. Whitney Reader Md Pa Internal Medicine 8110 E 32nd St N Suite 170, Wichita, KS 67226 2012-01-10
1528055670 Elaine M Demetroulis Internal Medicine 1130 W 4th St Ste 2050, Lawrence, KS 66044 2005-10-04
1669470340 Muhammad Akmal Khan Internal Medicine 100 W Ross Blvd Ste 2b, Dodge City, KS 67801-7217 2005-07-07
1821608118 St. Catherine Hospital Internal Medicine 401 E Spruce St, Garden City, KS 67846-5679 2020-08-03
1871056374 Patrick Ters, Md, Pa Internal Medicine 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 2019-04-11
1073074126 Cks Care of Ks, LLC Internal Medicine 10650 Roe Ave, Overland Park, KS 66207-3907 2019-03-29
1588119747 Miacare Medical Services, LLC Internal Medicine 3161 N Rock Rd, Suite A, Wichita, KS 67226-1452 2016-08-17
1801141767 Patrick Ters Internal Medicine 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 2012-07-17
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Competitor

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City EMPORIA
Zip Code 66801

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Dataset Information

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.

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