NPIMap

Organization Active NPI

City Hospital, Inc.

  • Urology Physician
  • Martinsburg, WV
National Provider Identifier
1720960479
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CITY HOSPITAL, INC.
Practice address
880 N Tennessee Ave Ste 105B
Martinsburg, WV 25401-9401
Phone
(304) 596-5757
NPI assigned
Jul 23, 2025
Organization subpart
Yes
Parent organization
CITY HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 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 of Finance
Phone
(304) 260-1443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

880 N Tennessee Ave Ste 105B
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

Locations

880 N Tennessee Ave
Ste 105B
Martinsburg, WV 25401
Phone (304) 596-5757

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1720960479",
    "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 105B",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019401",
            "telephone_number": "304-596-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY HOSPITAL, INC.",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "GLENDON",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "304-260-1443"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 23, 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.