Physician Compare National (NPI:1609872456)

HEALTHCARE PROVIDER: DOMINIC VINCENT HURLEY MD

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

Individual Professional Information
NPI	1609872456
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739171125
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141106001318
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HURLEY
	Individual professional last name
Provider First Name	DOMINIC
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
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	SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	NEWMAN MEMORIAL COUNTY HOSPITAL
	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	5193638526
	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	45
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1301 W 12TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	207 NRH MEDICAL PARTNERS CARDIOLOGY
	Group Practice or individual's line 2 address
City	EMPORIA
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	668012590
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6203424278
	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	171384
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEWMAN REGIONAL HEALTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y