RICHARD KENNETH HURLEY JR. (NPI# 1851653729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851653729 |
| Entity Type | Individual |
| Full Name | RICHARD KENNETH HURLEY JR. |
| Credential | M.D. |
| Practice Address |
3851 Roger Brooke Dr Attn: Mche-dor-o Fort Sam Houston TX 78234-4501 |
| Practice Telephone | 2109161242 |
| Practice Fax Number | 2109167323 |
| Mailing Telephone | 2109161242 |
| Mailing Fax Number | 2109167323 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101255710 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A155224 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101255710 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3851 Roger Brooke Dr, Attn: Mche-dor-o, Fort Sam Houston, TX 782344501 | 2109161242 | 2109167323 |
| 4860 Y St Ste 3800, Sacramento, CA 958172307 | 9167347463 | 9167346493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726342 | Richard Lowell Hurley | Driver | 457 N Michigan Ave, Edgerton, OH 43517-9680 | 2020-10-01 |
| 1013910272 | Richard Kenneth Hurley | Anesthesiology | 1507 W Main St, Gatesville, TX 76528-1024 | 2005-05-23 |
| 1700257300 | Richard Hurley | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2015-10-08 |
| Street Address |
3851 ROGER BROOKE DR ATTN: MCHE-DOR-O |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903931 | Doreen M. Lounsbery | Internal Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2005-06-23 |
| 1821561853 | Jessica Dolan | Dietitian, Registered | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2019-01-02 |
| 1851842306 | Michael Stablein | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-10-19 |
| 1588114078 | Daniel Hamilton | Optometrist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-10-07 |
| 1932657756 | Erica Russell | Physical Therapist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-09-21 |
| 1437502887 | Glenn Wayne Brietzke Jr. | Dietitian, Registered | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-07-21 |
| 1023483013 | Christine Setty | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mcheqd, Fort Sam Houston, TX 78234-4501 | 2015-12-02 |
| 1487024642 | Deserae Gonzalez | Social Worker | 3851 Roger Brooke Dr, Bamc Mche-qd (creds), Fort Sam Houston, TX 78234-4501 | 2015-09-30 |
| 1871969014 | Antoine Williams II | Registered Nurse | 3851 Roger Brooke Dr, San Antonio Military Medcial Center, Fort Sam Houston, TX 78234-4501 | 2015-08-11 |
| 1033503990 | Eldon Snyder | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841481975 | Anton Y. Jorgensen | Orthopaedic Surgery | 3551 Roger Brooke Drive, Orthopaedic Surgery (mche-zso), Fort Sam Houston, TX 78234-4504 | 2007-08-05 |
| 1710100045 | Kenneth Spencer Bode | Orthopaedic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761584 | Jfc Medical, Pllc | Orthopaedic Surgery | 6470 Naples Dr, Irving, TX 75039-4167 | 2020-05-11 |
| 1740812221 | Granthem Pllc | Orthopaedic Surgery | 8440 Walnut Hill Ln Ste 230, Dallas, TX 75231-3816 | 2020-02-12 |
| 1184270845 | Spine Dfw Pa | Orthopaedic Surgery | 440 W Lbj Fwy Ste 465, Irving, TX 75063-3869 | 2019-08-16 |
| 1083268338 | Mp Surgical Assists LLC | Orthopaedic Surgery | 4012 Duval St Unit B, Austin, TX 78751-5110 | 2019-07-25 |
| 1215405402 | Houston Scoliosis & Spine Institute, LLC | Orthopaedic Surgery | 3534 Vista Rd Ste 2000, Pasadena, TX 77504-1728 | 2018-11-06 |
| 1306332481 | Craig C Callewart Md Pa | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 420, Addison, TX 75001-7115 | 2018-07-02 |
| 1013415397 | Total Joint Cin of West Texas LLC | Orthopaedic Surgery | 18911 Hardy Oak Blvd # B, San Antonio, TX 78258-4967 | 2018-01-31 |
| 1750889036 | Total Joint Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave Ste 1540b, Austin, TX 78701-4071 | 2018-01-31 |
| 1578071452 | Spine Cin of West Texas LLC | Orthopaedic Surgery | 18911a Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1205344181 | Spine Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave # 1540a, Austin, TX 78701-4071 | 2018-01-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.