DR. SUSAN GRAY HURLEY (NPI# 1063774040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063774040 |
| Entity Type | Individual |
| Full Name | DR. SUSAN GRAY HURLEY |
| Credential | M.D. |
| Practice Address |
94-1480 Moaniani St Waipahu HI 96797-4632 |
| Practice Telephone | 8084322000 |
| Mailing Telephone | 8084322000 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD-18841 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346616307 | Susan Hurley | Dietitian, Registered | 41 Longitude Dr, Mount Vernon, OH 43050-8700 | 2015-08-13 |
| 1215210372 | Susan Padgett Hurley | Counselor | 5938 Crescent Dr., Claremont, NC 28610-8175 | 2011-09-26 |
| 1356494074 | Susan Marie Hurley | Occupational Therapist | 56299 29 Palms Hwy, Yucca Valley, CA 92284-2857 | 2007-01-18 |
| 1124488986 | Susan Hurley | Counselor | 1138 Pine St, Burlington, VT 05401-5353 | 2016-03-07 |
| 1851690010 | Susan Ayn Hurley | Physical Therapy Assistant | 1 Rapp Rd, Albany, NY 12203-4491 | 2011-03-26 |
| 1083927222 | Susan Hurley | Counselor | 5110 S Florida Ave, Suite 105, Lakeland, FL 33813-2512 | 2010-07-16 |
| 1316127103 | Susan Michelle Hurley | Early Intervention Provider Agency | 64 Industrial Park Rd, Plymouth, MA 02360-4881 | 2007-11-08 |
| 1356389753 | Susan Lysaght Hurley | Nurse Practitioner | 81 Highland Ave, North Shore Medical Center--palliative Care, Salem, MA 01970-2714 | 2006-06-04 |
| 1689634800 | Susan M Hurley | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-03-23 |
| Street Address |
94-1480 MOANIANI ST |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911450 | Shelly A. Tomishima | Psychologist | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2005-09-01 |
| 1679927834 | Eleazar Dial | Physician Assistant | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2016-04-14 |
| 1770992919 | Justin Maeda | Psychologist | 94-1480 Moaniani St, Kaiser Permanente Waipio Clinic, Waipahu, HI 96797-4632 | 2014-08-12 |
| 1497162523 | Jake Elsbernd | Pharmacist | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2014-07-21 |
| 1083044408 | Alissa T Hino | Physician Assistant | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2013-11-21 |
| 1013350719 | Sara Christine Harris | Obstetrics & Gynecology | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2013-04-11 |
| 1760726426 | Jennifer Begonia | Counselor | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2012-11-19 |
| 1184904104 | Emily Newman Sumner | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2011-08-22 |
| 1508185240 | Komal Singh Soin | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2010-05-20 |
| 1467689992 | Cherry Rose Rosales | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2009-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514645 | Ohana Pacific Medical LLC | Family Medicine | 94-1221 Ka Uka Blvd Unit 108-166, Waipahu, HI 96797-6202 | 2019-02-12 |
| 1205130655 | Gloria Eden Guerrero Domingo | Family Medicine | 94-239 Waipahu Depot St Ste 110, Waipahu, HI 96797-3056 | 2010-12-28 |
| 1578610168 | Edward A Alquero | Family Medicine | 94-141 Pupupuhi St, Waipahu, HI 96797-2510 | 2007-01-04 |
| 1588670756 | Timothy Shoji Hiura | Family Medicine | 94-849 Lumiaina St Ste 207, Waipahu, HI 96797-5025 | 2006-07-31 |
| 1740267145 | Howard Neudorf | Family Medicine | 94-239 Waipahu Depot St, 106, Waipahu, HI 96797-3056 | 2005-12-27 |
| 1073596250 | James Ken Okamoto | Family Medicine | 94-849 Lumiaina St, Waikele Professional Ctr, Suite 207, Waipahu, HI 96797-5025 | 2005-11-22 |
| 1295174175 | Noelani C Hobbs | Family Medicine | 94-216 Pupukahi St, Waipahu, HI 96797-2606 | 2013-06-24 |
| 1184904104 | Emily Newman Sumner | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2011-08-22 |
| 1508185240 | Komal Singh Soin | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2010-05-20 |
| 1467689992 | Cherry Rose Rosales | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2009-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.