Physician Compare National (NPI:1184648784)

HEALTHCARE PROVIDER: JERALD E HURDLE D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1184648784
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325054786
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101103000023
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HURDLE
	Individual professional last name
Provider First Name	JERALD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	COLORECTAL SURGERY (PROCTOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	DERMATOLOGY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	FAMILY MEDICINE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	COLORECTAL SURGERY (PROCTOLOGY), DERMATOLOGY, FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	13 RAILROAD SQ
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	WATERVILLE
	Group Practice or individual's city
State	ME
	Group Practice or individual's state
Zip Code	049016139
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	200039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAINE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y