Dynamic Health & Orthotics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DYNAMIC HEALTH & ORTHOTICS

Practice address

3859 Teays Valley Rd
Hurricane, WV 25526-9622

Phone

(304) 760-8803

Fax

(304) 760-8825

NPI assigned

Mar 16, 2012

Last updated

Mar 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Derek Hollingsworth, D.O.

Title

Owner

Phone

(304) 760-8803

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• J. Derek Hollingsworth, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Millwood, WV
  • NPI 1336192269
  NPD (past)

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1760757272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269622",
            "telephone_number": "304-760-8803",
            "fax_number": "304-760-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3859 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269622",
            "telephone_number": "304-760-8803",
            "fax_number": "304-760-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-760-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WEST VIRGINIA-BOARD OF OSTEOPATHY",
            "identifier": "PLLC-124",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoey Dunlap
• Dupontdpm PLLC (WV Foot Specialists)
• Elizabeth A Durham, M.A.
• Joyce Durham
• Kelsey Marie Durham
• E. Brad McCoy, D.O. PLLC
• Stephanie Easter
• Michael James Ebbert, R.PH.
• Ecp Clinics LLC
• Brook Makala Jane Edwards

• Family Medicine Physician in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.