Mark A Hurt, M.D.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

36381 Issued in MO

Practice address

2326 Millpark Dr
Maryland Heights, MO 63043-3530

Phone

(314) 991-4313

Fax

(314) 991-4317

NPI assigned

Nov 10, 2006

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WCP Pathology, PC

  • Clinical Medical Laboratory
  • Maryland Heights, MO
  • NPI 1215008396

  Dermatopathology

  Medicare reassignment NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1891866190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 MILLPARK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 MILLPARK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433530",
            "telephone_number": "314-991-4313",
            "fax_number": "314-991-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MO",
            "license": "36381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn H Hubbs
• Brittney Huck, OTR/L
• Christopher Hulsey
• Brittany Humbel, RN, BSN
• Heather Hupperts-Harman, FNP-C, PMHNP-BC
• Andrea Immel
• Infinity Home Care LLC
• Institute of Intrapersonal Development, LLC
• John L Jackson, PH.D.
• Amen Jawaid

• Dermatopathology (Pathology) Physician in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Dermatopathology (Pathology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.