Active NPI
Denzil W Hawkinberry II, MD
- Addiction Medicine (Anesthesiology) Physician
- Buckhannon, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- 20823
- Practice address
- 34 N Kanawha St
Buckhannon, WV 26201-2714 - Phone
- (304) 473-2250
- Fax
- (304) 924-5460
- NPI assigned
- Sep 25, 2006
- Last updated
- Sep 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20823 | WV | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 20823 | WV | Primary |
Addresses
Primary practice location
34 N Kanawha St
Buckhannon, WV 26201-2714
Mailing address
34 N Kanawha St
Buckhannon, WV 26201-2714
Phone (304) 473-2250
Other practice location 1
924 Liberty Street
West Milford, WV 26451
Phone (304) 745-4568
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20554238700 | Other | WV | WORKERS COMP |
| 3810006746 | Medicaid | WV | |
| DF0767 | Other | WV | RR MEDICARE |
| 2528367 | Other | WV | OHIO MEDICAID |
| 270052997004 | Other | WV | TRICARE MAAC |
| P00407274 | Other | WV | RR MEDICARE |
| 001706469 | Other | WV | BLUE CROSS |
| 3810001133 | Medicaid | WV | |
| 001808009 | Other | WV | MSBCBS |
| 001907643 | Other | WV | MSBCBS GROUP |
| 2332177174-00 | Other | WV | OHIO WORKERS COMP |
| 27005997004 | Other | WV | TRICARE |
| 1068812 | Other | WV | BRICKSTREET |
| 205542387 | Other | WV | TRICARE |
| 205542387001 | Other | WV | TRICARE |
| P00382001 | Other | WV | RR MEDICARE |
| 0207026000 | Medicaid | WV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- West Virginia University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care of West Virginia, Inc.
Practice addresses (Care Compare)
100 Market PL
Bridgeport, WV 26330-9168
Phone (304) 848-5770
107 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022
133 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-9510
149 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022
208 Kidd Ave
Stonewood, WV 26301-4833
Phone (304) 326-7050
235 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400
249 Skidmore LN
Sutton, WV 26601-9272
266 Skidmore LN
Sutton, WV 26601-9271
Phone (304) 765-0351
273 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400
33 37 W Main St
Buckhannon, WV 26201-2235
Phone (304) 473-5600
34 N Kanawha St
Buckhannon, WV 26201-2714
Phone (304) 473-2250
4 Northridge Dr
Suite 118
Buckhannon, WV 26201-8484
Phone (304) 473-5661
65 Professional PL
Suite 101
Bridgeport, WV 26330-1889
Phone (304) 848-5770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
65 Professional Pl
Ste 101
Bridgeport, WV 26330
Phone (304) 842-6463
34 N Kanawha St
Buckhannon, WV 26201
Phone (304) 473-2250
37 W Main St
Buckhannon, WV 26201
Phone (304) 472-1712
4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440
77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440
59 Ossia Rd
Duck, WV 25063
Phone (304) 286-2838
4498 Potomac Highlands Trl
Green Bank, WV 24944
Phone (304) 456-5115
797 Clinic Dr
Ivydale, WV 25113
Phone (304) 286-4200
821 3rd Ave
Marlinton, WV 24954
Phone (304) 799-4404
78 Queens Alley Rd
Rock Cave, WV 26234
235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400
266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351
107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022
133 Staunton Dr
Weston, WV 26452
Phone (304) 269-9510
149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022
Interoperability endpoints
- denzil.hawkinberry.1@4803.direct.athenahealth.com
Organizations & group practices 49
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.
-
dba Community Care Connections of Weston
- Federally Qualified Health Center (FQHC)
- Weston, WV
- NPI 1275271611
-
dba Community Care of Bridgeport
- Federally Qualified Health Center (FQHC)
- Bridgeport, WV
- NPI 1063808418
-
dba CareXpress of Buckhannon
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1114277050
-
dba Community Care of Marlinton
- Federally Qualified Health Center (FQHC)
- Marlinton, WV
- NPI 1164653457
-
dba Community Care Connections of Flatwoods
- Federally Qualified Health Center (FQHC)
- Sutton, WV
- NPI 1609042266
-
dba Community Care of Weston II
- Federally Qualified Health Center (FQHC)
- Weston, WV
- NPI 1619464369
-
dba Community Care of Flatwoods
- Federally Qualified Health Center (FQHC)
- Sutton, WV
- NPI 1770917577
-
dba Community Care Connections of Buckhannon
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1063048189
-
dba CareXpress of Weston
- Federally Qualified Health Center (FQHC)
- Weston, WV
- NPI 1073944658
-
dba Community Care of Bridgeport
- Federally Qualified Health Center (FQHC)
- Bridgeport, WV
- NPI 1619348844
-
dba Community Care of Buckhannon
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1891241030
-
dba Adamston Elementary School Wellness Center
- Federally Qualified Health Center (FQHC)
- Clarksburg, WV
- NPI 1851787121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1376644401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 N KANAWHA ST",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012714",
"telephone_number": "304-473-2250",
"fax_number": "304-924-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 N KANAWHA ST",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012714",
"telephone_number": "304-473-2250",
"fax_number": "304-924-5460"
}
],
"practiceLocations": [
{
"address_1": "924 Liberty Street",
"address_purpose": "LOCATION",
"city": "West Milford",
"state": "WV",
"postal_code": "26451",
"country_code": "US",
"telephone_number": "304-745-4568",
"fax_number": "304-326-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINBERRY",
"first_name": "DENZIL",
"middle_name": "W",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "20823",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "WV",
"license": "20823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "20554238700",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006746",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DF0767",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID",
"identifier": "2528367",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE MAAC",
"identifier": "270052997004",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00407274",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001706469",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810001133",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "001808009",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS GROUP",
"identifier": "001907643",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO WORKERS COMP",
"identifier": "2332177174-00",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "27005997004",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "1068812",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "205542387",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "205542387001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00382001",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207026000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.