Active NPI
New River Dermatology PLC
- Dermatology Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0102201003
- Legal business name
- NEW RIVER DERMATOLOGY PLC
- Practice address
- 2617 Sheffield Dr
Blacksburg, VA 24060-8271 - Phone
- (540) 953-2210
- Fax
- (540) 951-9112
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel S Hurd, DO
- Title
- Owner
- Phone
- (540) 953-2210
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0102201003 | VA | Primary |
Addresses
Primary practice location
2617 Sheffield Dr
Blacksburg, VA 24060-8271
Mailing address
2617 Sheffield Dr
Blacksburg, VA 24060-8271
Phone (540) 953-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0990271 | New River Dermatology | Compliance | May 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
3700 S Main St
Ste G
Blacksburg, VA 24060
306 W Main St
Radford, VA 24141
Phone (540) 953-2210
146 W Main St
Wytheville, VA 24382
Phone (540) 953-2210
710 W Ridge Rd
Ste 1D
Wytheville, VA 24382
710 W Ridge Rd
Ste G
Wytheville, VA 24382
Phone (276) 339-2236
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Dermatology Physician
- Blacksburg, VA
- NPI 1841290897
-
- Family Nurse Practitioner
- Blacksburg, VA
- NPI 1104799329
-
- Nurse Practitioner
- Blacksburg, VA
- NPI 1083357776
-
- Physician Assistant
- Woodlawn, VA
- NPI 1780318709
-
- Physician Assistant
- Salem, VA
- NPI 1659960078
-
- Physician Assistant
- Blacksburg, VA
- NPI 1902983083
-
- Physician Assistant
- Blacksburg, VA
- NPI 1518919992
-
- Physician Assistant
- Blacksburg, VA
- NPI 1780228262
-
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1710721402
-
- Medical Physician Assistant
- Blacksburg, VA
- NPI 1518404573
-
- Physician Assistant
- Lynchburg, VA
- NPI 1417971136
-
- Neuro-ophthalmology Physician
- Roanoke, VA
- NPI 1659324267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280188800000",
"number": "1467534248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 SHEFFIELD DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608271",
"telephone_number": "540-953-2210",
"fax_number": "540-951-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 SHEFFIELD DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608271",
"telephone_number": "540-953-2210",
"fax_number": "540-951-9112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW RIVER DERMATOLOGY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2010-07-27",
"status": "A",
"authorized_official_last_name": "HURD",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-953-2210",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "VA",
"license": "0102201003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
- Geralyn Wheeler Neumann, RPA-C
- Neurological Care Clinic PC
- Neurology Services of Southwest Virginia
- Neuropsychological & Counseling Services, Inc.
- New Beginnings Pediatrics PLLC
- New River Neurology and Epilepsy
- New River Periodontics and Dental Implant Center
- New River Periodontics and Dental Implant Center, PC
- New River Pharmacy LLC (Counts Family Pharmacy)
- New River Valley Community Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.