Organization Active NPI

Martinsville Urologic Clinic PC

  • Pediatric Urology Physician
  • Martinsville, VA
National Provider Identifier
1073667630
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
Legal business name
MARTINSVILLE UROLOGIC CLINIC PC
Practice address
15 Cleveland Ave
Suite 15
Martinsville, VA 24112-2937
Phone
(276) 634-5000
Fax
(276) 634-5229
NPI assigned
Jan 22, 2007
Last updated
Jun 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George Samuel Hurt III, M.D.NPI 1831243542
Title
Officer
Phone
(276) 634-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X NU Primary

Addresses

Primary practice location

15 Cleveland Ave
Suite 15
Martinsville, VA 24112-2937

Mailing address

15 Cleveland Ave
Suite 15
Martinsville, VA 24112-2937
Phone (276) 634-5000

National Provider Directory

National Provider Directory

Locations

15 Cleveland Ave
Martinsville, VA 24112
Phone (276) 638-2165

15 Cleveland Ave
Ste 15
Martinsville, VA 24112
Phone (276) 634-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1073667630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLEVELAND AVE",
            "address_2": "SUITE 15",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122937",
            "telephone_number": "276-634-5000",
            "fax_number": "276-634-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CLEVELAND AVE",
            "address_2": "SUITE 15",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122937",
            "telephone_number": "276-634-5000",
            "fax_number": "276-634-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE UROLOGIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "276-634-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.