NPIMap

Organization Active NPI

Center for Dermatology - Erik B Hurst

  • Dermatology Physician
  • Martinsburg, WV
National Provider Identifier
1275729816
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22667 Issued in WV
Legal business name
CENTER FOR DERMATOLOGY - ERIK B HURST
Practice address
1000 Sushruta Dr
Martinsburg, WV 25401-8876
Phone
(304) 263-3933
Fax
(304) 596-5554
NPI assigned
Sep 18, 2007
Last updated
Aug 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Dr. Erik B Hurst, M.D.NPI 1801910880
Title
Physician
Phone
(304) 263-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22667 WV Primary

Addresses

Primary practice location

1000 Sushruta Dr
Martinsburg, WV 25401-8876

Mailing address

1000 Sushruta Dr
Martinsburg, WV 25401-8876
Phone (304) 263-3933

Other identifiers 3

IdentifierTypeStateIssuer
DG2688OtherWVRAILROAD MEDICAE
001978551OtherWVMOUTAIN STATE BLUE CROSS BLUE SHIELD
381009620MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071011000433 WV Part B Supplier - Clinic/Group Practice 1456445667 Receives reassigned benefits from 5 practitioners
Practice locations: Martinsburg, WV
O20170814000204 MD Part B Supplier - Clinic/Group Practice 1456445667 Receives reassigned benefits from 4 practitioners
Practice locations: Hagerstown, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1072845Center for Dermatology1000 Sushruta Drive, Martinsburg, WV 25401ComplianceJul 2, 2028

National Provider Directory

National Provider Directory

Locations

1000 Sushruta Dr
Martinsburg, WV 25401
Phone (304) 263-3933

Practitioners & affiliated clinicians

Practitioners 6

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1275729816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SUSHRUTA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018876",
            "telephone_number": "304-263-3933",
            "fax_number": "304-596-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUSHRUTA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018876",
            "telephone_number": "304-263-3933",
            "fax_number": "304-596-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DERMATOLOGY - ERIK B HURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-263-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "22667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAE",
            "identifier": "DG2688",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUTAIN STATE BLUE CROSS BLUE SHIELD",
            "identifier": "001978551",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381009620",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.