Individual provider Active NPI

Marie Anne Hurd, D.O.

  • Emergency Medicine Physician
  • Warren, OH
National Provider Identifier
1689988040
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34010717 Issued in OH
Practice address
667 Eastland Ave SE
Warren, OH 44484-4503
Phone
(330) 841-4774
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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 3356 TN
Emergency Medicine Physician 207P00000X 0102204514 VA
Emergency Medicine Physician 207P00000X 34010717 OH Primary

Addresses

Primary practice location

667 Eastland Ave SE
Warren, OH 44484-4503

Mailing address

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4774

Other names 1

  • Marie Anne Violette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, VA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130116000051 OH Practitioner - Emergency Medicine 7517110919 Reassigns benefits to 1 organization
I20140808001814 NC Practitioner - Emergency Medicine 7517110919 Reassigns benefits to 2 organizations
I20161018000944 VA Practitioner - Emergency Medicine 7517110919 Reassigns benefits to 1 organization
I20180111000237 TN Practitioner - Emergency Medicine 7517110919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Virginia Regional Emergency Physicians LLCGroup PAC ID 4183991227, 88 clinicians

Practice addresses (Care Compare)

58 Carrol St
Lebanon, VA 24266
Phone (276) 883-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
83.8
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.12 of 100Reported as group
Quality
64.75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34010717OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 5, 2020 Accepting new patients
Yadkin Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 20, 2020 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Jan 1, 2013 Accepting new patients
Wellmont Health System Current Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jun 2, 2020 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Nov 6, 2022 Accepting new patients
Mercy Health Youngstown LLC PastSince Jan 1, 2013 Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: mhurd204357@balladhealth.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1689988040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "MARIE",
        "middle_name": "ANNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "3356",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102204514",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34010717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "VIOLETTE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.