HURLEY, JAMES E II (MD)

Provider Demographics

• NPI: 1750362935
• Name: HURLEY, JAMES E II (MD)
• Entity type: Individual
• Prefix: DR
• First Name: JAMES
• Middle Name: E
• Last Name: HURLEY
• Suffix: II
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 785 5TH AVENUE
• Mailing Address - Street 2: SUITE 3
• Mailing Address - City: CHAMBERSBURG
• Mailing Address - State: PA
• Mailing Address - Zip Code: 17201-4232
• Mailing Address - Country: US
• Mailing Address - Phone: 717-263-9555
• Mailing Address - Fax: 717-217-4217
• Practice Address - Street 1: 45 ROADSIDE AVE
• Practice Address - City: WAYNESBORO
• Practice Address - State: PA
• Practice Address - Zip Code: 17268-2542
• Practice Address - Country: US
• Practice Address - Phone: 717-762-7155
• Practice Address - Fax: 717-762-6929
• Is Sole Proprietor?: Yes
• Enumeration Date: 2005-11-07
• Last Update Date: 2023-03-07

Provider Licenses

State	License ID	Taxonomies
PA	MD037993E	208600000X, 2086S0122X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	208600000X	Allopathic & Osteopathic Physicians	Surgery
No	2086S0122X	Allopathic & Osteopathic Physicians	Surgery	Plastic and Reconstructive Surgery

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	25-1716306	Other	HEALTHNET/TRICARE
PA	415419-03	Other	CAREFIRST (MD)
PA	8605680	Other	AETNA HMO
PA	001082136 0007	Medicaid
PA	25-1716306	Other	FIRST HEALTH
PA	296896	Other	UNISON (SBCS)
PA	70158	Other	HIGHMARK BLUESHIELD
PA	1750362935	Other	HEALTH AMERICA
PA	25-1716306	Other	DEVON
PA	25-1716306	Other	MULTIPLAN/PHCS
PA	50092804	Other	CAPITAL BLUECROSS (SBCS)
PA	6121061	Other	AETNA HMO
PA	0010821360004	Medicaid
PA	25-1716306	Other	SOUTH CENTRAL PREFERRED
PA	4284504	Other	AETNA NON-HMO
PA	2191575	Other	MAMSI
PA	25-1716306	Other	INFORMED
PA	MD037993E	Other	LICENSE
PA	V044-0001	Other	CAREFIRST (DC)
PA	1007307260034	Other	MEDICAID GROUP #
PA	120420423	Other	DEPT OF LABOR
PA	289750	Other	UNISON (SCSA)
PA	001082136 0008	Medicaid
PA	1496701	Other	CAPITAL BLUECROSS (SCSA)
PA	25-1716306	Other	INTERGROUP
PA	867633	Other	MEDICARE GROUP #
PA	BH8076562	Other	DEA
PA	289750	Other	UNISON (SCSA)
PA	V044-0001	Other	CAREFIRST (DC)
PA	070158LN7	Medicare PIN