Physician Compare National (NPI:1568487635)

HEALTHCARE PROVIDER: ROBERT K. HURFORD JR. M.D., PH.D.

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

Individual Professional Information
NPI	1568487635
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769442714
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100706000535
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HURFORD
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	KENNETH
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHEAST ORTHOPEDIC SPECIALISTS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1456246974
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	59
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2627 RIVERSIDE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	FL 3
	Group Practice or individual's line 2 address
City	JACKSONVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	322044712
	Group Practice or individual's zip code (9 digits when available)
Phone Number	90463406401014
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100307
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S MEDICAL CENTER SOUTHSIDE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100040
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST VINCENT'S MEDICAL CENTER RIVERSIDE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100321
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST VINCENTS MEDICAL CENTER - CLAY COUNTY
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100088
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAPTIST MEDICAL CENTER JACKSONVILLE
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y