Active NPI
City Hospital, Inc.
- Neurology Physician
- Martinsburg, WV
National Provider Identifier
1932654522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CITY HOSPITAL, INC.
- Practice address
- 156 Health Care LN
Martinsburg, WV 25401-4009 - Phone
- (304) 264-0704
- Fax
- (304) 264-0804
- NPI assigned
- Aug 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Zelenka
- Title
- Ceo
- Phone
- (304) 264-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
156 Health Care LN
Martinsburg, WV 25401-4009
Mailing address
156 Health Care LN
Martinsburg, WV 25401-4009
Phone (304) 264-0704
Other names 1
- WVU Medicine Neurology, operated by Berkeley Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120000306 | WV | Part B Supplier - Clinic/Group Practice | 3375444524 |
Receives reassigned benefits from 225 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Martinsburg, WV; Ranson, WV |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471996800000",
"number": "1932654522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 HEALTH CARE LN",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254014009",
"telephone_number": "304-264-0704",
"fax_number": "304-264-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 HEALTH CARE LN",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254014009",
"telephone_number": "304-264-0704",
"fax_number": "304-264-0804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A",
"authorized_official_last_name": "ZELENKA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-264-1000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WVU Medicine Neurology, operated by Berkeley Medical Center",
"code": "5",
"type": "Other Name"
}
]
}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 Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.