Individual provider Active NPI

Erik S Buzzard, DO

  • Emergency Medicine Physician
  • Morgantown, WV
National Provider Identifier
1336307156
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2574 Issued in WV
Practice address
1160 Van Voorhis Rd
Morgantown, WV 26505-3437
Phone
(304) 598-1122
Fax
(304) 598-1124
NPI assigned
May 29, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT012653 PA
Emergency Medicine Physician 207P00000X 2574 WV Primary
Physical Medicine & Rehabilitation Physician 208100000X 2574 WV

Addresses

Primary practice location

1160 Van Voorhis Rd
Morgantown, WV 26505-3437

Mailing address

1160 Van Voorhis Rd
Morgantown, WV 26505-3437
Phone (304) 598-1122

Other practice location 1

117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000780 WV Practitioner - Emergency MedicinePractitioner - Physical Medicine and Rehabilitation 5698947224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT012653PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waterfront Urgent Care PLLC CurrentSince Aug 10, 2021 Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients

Locations

215 Don Knotts Blvd
Morgantown, WV 26501
Phone (304) 225-7979

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336307156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053437",
            "telephone_number": "304-598-1122",
            "fax_number": "304-598-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053437",
            "telephone_number": "304-598-1122",
            "fax_number": "304-598-1124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "WV",
            "postal_code": "268479566",
            "country_code": "US",
            "telephone_number": "304-257-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZZARD",
        "first_name": "ERIK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT012653",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2574",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "2574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.