NPIMap

Organization Active NPI

City Hospital, Inc.

  • Anesthesiology Physician
  • Martinsburg, WV
National Provider Identifier
1679386353
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CITY HOSPITAL, INC.
Practice address
880 N Tennessee Ave Ste 104
Martinsburg, WV 25401-9401
Phone
(304) 596-5160
NPI assigned
Jan 28, 2025
Organization subpart
Yes
Parent organization
CITY HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Grover Glendon Kerns
Title
VP Finance
Phone
(304) 260-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

880 N Tennessee Ave Ste 104
Martinsburg, WV 25401-9401

Mailing address

PO Box 990
Morgantown, WV 26507-0990

National Provider Directory

National Provider Directory
Tax ID family
Daryl M Larusso MD36 organizations share this tax ID, including this one
Part of
Daryl M Larusso MD

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1679386353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N TENNESSEE AVE STE 104",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019401",
            "telephone_number": "304-596-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY HOSPITAL, INC.",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "GLENDON",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "304-260-1443"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.