Individual provider Active NPI

Charles Benson Hurst, MD

  • Emergency Medicine Physician
  • Solon, OH
National Provider Identifier
1538100615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35027462H Issued in OH
Practice address
33001 Solon Rd
Solon, OH 44139-2839
Phone
(440) 349-2516
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35027462H OH Primary

Addresses

Primary practice location

33001 Solon Rd
Solon, OH 44139-2839

Mailing address

37105 Miles Rd
Chagrin Falls, OH 44022-2338

Other identifiers 2

IdentifierTypeStateIssuer
942460636316OtherOHCARESOURCE
0211149MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050202000832 OH Practitioner - Pediatric Medicine 1951352335 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35027462HOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jan 14, 2005 Accepting new patients
Southwest General Brunswick Emergency Center Past Accepting new patients

Locations

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

33001 Solon Rd
Ste 112
Solon, OH 44139
Phone (440) 248-1297

33001 Solon Rd
Solon, OH 44139
Phone (440) 349-2273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538100615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37105 MILES RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33001 SOLON RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392839",
            "telephone_number": "440-349-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "CHARLES",
        "middle_name": "BENSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35027462H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636316",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.