Healthcare Provider Details

I. General information

NPI: 1306037973
Provider Name (Legal Business Name): JASON DANIEL HURT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST SUITE 4750
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

300 HALKET ST
PITTSBURGH PA
15213-3108
US

V. Phone/Fax

Practice location:
  • Phone: 412-687-1300
  • Fax:
Mailing address:
  • Phone: 412-687-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD438877
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: