NPIMap

Organization Active NPI

City Hospital Inc

Doing business as City Hospital Anesthesia Department

  • Anesthesiology Physician
  • Martinsburg, WV
National Provider Identifier
1942503164
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CITY HOSPITAL INC
Doing business as
City Hospital Anesthesia Department
Practice address
880 N Tennessee Ave Ste 104
Martinsburg, WV 25401-9401
Phone
(304) 596-5160
Fax
(304) 596-5161
NPI assigned
Dec 9, 2010
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

880 N Tennessee Ave Ste 104
Martinsburg, WV 25401-9401

Mailing address

PO Box 6866
Wheeling, WV 26003-0923
Phone (304) 233-2455

Other names 1

  • City Hospital Anesthesia Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000306 WV Part B Supplier - Clinic/Group Practice 3375444524 Receives reassigned benefits from 225 practitioners
3 other NPIs on this enrollment
Practice locations: Martinsburg, WV; Ranson, WV

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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 Directory
Tax ID family
Pater L Bergsagel MD36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Practitioners & affiliated clinicians

Practitioners 267

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.

View all 267

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1942503164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6866",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030923",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N TENNESSEE AVE STE 104",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019401",
            "telephone_number": "304-596-5160",
            "fax_number": "304-596-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "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": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Hospital Anesthesia Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2025; 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.

Verify at the official NPI Registry.