Individual provider Active NPI

Dennis J Wert, PA-C

  • Physician Assistant
  • Martinsburg, WV
National Provider Identifier
1922006006
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
482 Issued in WV
Practice address
97 Administrative Dr
Martinsburg, WV 25404-6378
Phone
(304) 350-3200
Fax
(304) 350-3240
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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 00482 WV
Physician Assistant 363A00000X 0110840604 VA
Physician Assistant 363A00000X 482 WV Primary

Addresses

Primary practice location

97 Administrative Dr
Martinsburg, WV 25404-6378

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-4405

Other practice location 1

120 Campus Dr Ste 101
Martinsburg, WV 25404-7552
Phone (681) 247-1250

Other practice location 2

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

Other identifiers 1

IdentifierTypeStateIssuer
550738254029OtherWVBCBS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dwert961758@soc.inova.org
Direct Messaging Address dwert961758@soc.inova.org
Direct Messaging Address dwert961758@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000038 WV Practitioner - Physician Assistant 1254414113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

120 Campus Dr
Martinsburg, WV 25404-7552

97 Administrative Dr
Martinsburg, WV 25404-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
482WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2021 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2021 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

120 Campus Dr
Ste 211
Martinsburg, WV 25404
Phone (681) 247-1260

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

120 Campus Dr
Ste 101
Martinsburg, WV 25404
Phone (681) 247-1250

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1922006006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-4405",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ADMINISTRATIVE DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046378",
            "telephone_number": "304-350-3200",
            "fax_number": "304-350-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Campus Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047552",
            "country_code": "US",
            "telephone_number": "681-247-1250",
            "fax_number": "671-247-1251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Oak Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254384879",
            "country_code": "US",
            "telephone_number": "304-930-0001",
            "fax_number": "304-252-1843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERT",
        "first_name": "DENNIS",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "00482",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840604",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "550738254029",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwert961758@soc.inova.org",
            "affiliation": "N",
            "address_1": "100 Oak Lee Dr",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254384879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwert961758@soc.inova.org",
            "affiliation": "N",
            "address_1": "97 Administrative Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254046378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwert961758@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr Ste 101",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.