DR. CHARLES GARY HURST (NPI# 1063572501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063572501 |
| Entity Type | Individual |
| Full Name | DR. CHARLES GARY HURST |
| Credential | M.D. |
| Practice Address |
3100 Ricketts Point Rd Gunpowder MD 21010-5400 |
| Mailing Address |
3037 Clarkson Dr Abingdon MD 21009-2760 |
| Practice Telephone | 4104362230 |
| Practice Fax Number | 4104363086 |
| Mailing Telephone | 4435120352 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D0035360 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265507578 | Charles Stephen Hurst | Dentist | 628 Fleet Street, Brookings, OR 97415 | 2006-11-21 |
| 1396855805 | Charles Allen Hurst IIi | Physical Therapist | 4107 Hohe St, Homer, AK 99603-7008 | 2006-08-30 |
| 1831675495 | Charles Hurst | Counselor | 2516 Carter Ave, Ashland, KY 41101-7830 | 2018-07-17 |
| 1851513105 | Charles A. Hurst | Dentist | 1830 S 11th St, Chesterton, IN 46304-9381 | 2007-05-03 |
| 1538100615 | Charles Benson Hurst | Emergency Medicine | 33001 Solon Rd, Solon, OH 44139-2839 | 2006-06-09 |
| Street Address |
3100 RICKETTS POINT RD |
| City | GUNPOWDER |
| State | MD |
| Zip Code | 21010-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770686636 | James Malcolm Madsen | Pathology | 3100 Ricketts Point Rd, Usamricd, Attn: Mcmr-cdm (col Madsen), Gunpowder, MD 21010-5400 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144481128 | Joseph S. Jones | Preventive Medicine | Army Public Health Command, 5158 Black Hawk Rd, Gunpowder, MD 21010 | 2008-06-23 |
| 1104980150 | Bonnie J Parham | Licensed Practical Nurse | 4110 Austin Road, Gunpowder, MD 21010 | 2006-12-21 |
| 1649214735 | John Hill Barker Jr. | Dentist | Bldg. E4110, Austin Road, Edgewood Dental Clinic, Apg Edgewood Area, MD 21010 | 2006-06-16 |
| 1093910374 | Kimbrough Acc Military Mtf | Clinic/Center | 4110 Austin Road, Aberdeen Proving Ground, MD 21010 | 2007-06-18 |
| 1013064666 | Sally Siefert Hoedebecke | Dietitian, Registered | 5158 Black Hawk Rd Bldg E1930, Aberdeen Proving Ground, MD 21010-5403 | 2007-01-05 |
| 1578543062 | Michael Duane Pattison | Optometrist | Tsvcrd, Aphc, Attn: Mchb-ph-vcr, 8252 Blackhawk Road, Aberdeen Proving Ground, MD 21010-5403 | 2006-01-19 |
| 1528059037 | Kimberly Ann Beck | Preventive Medicine | 5158 Black Hawk Rd, E1570, Gunpowder, MD 21010-5403 | 2005-11-03 |
| 1467978932 | Kim Theresa Pierre | Audiologist | 5158 Black Hawk Rd, Aberdeen Proving Ground, MD 21010-5403 | 2017-08-16 |
| 1144552514 | Roger Gregory Mcintosh | Preventive Medicine | 5158 Black Hawk Rd, Bldg E-1570, Gunpowder, MD 21010-5403 | 2010-02-09 |
| 1457408379 | Deanna Harkins | Preventive Medicine | 5158 Black Hawk Rd, E1570, Gunpowder, MD 21010-5403 | 2007-01-04 |
| Find all providers in zip 21010 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748508 | Mana Dermatology LLC | Dermatology | 7500 Greenway Center Dr Ste 1220, Greenbelt, MD 20770-3502 | 2020-10-20 |
| 1922615509 | Dr. G Laser and Med Spa LLC | Dermatology | 11089 Resort Rd, Ellicott City, MD 21042-2073 | 2020-09-28 |
| 1669099321 | Consonant Healing Associates of De LLC | Dermatology | 909 Ridgebrook Rd Ste 220, Sparks, MD 21152-9476 | 2020-06-29 |
| 1366074023 | Consonant Healing, LLC | Dermatology | 1370 Lamberton Dr Ste 16, Silver Spring, MD 20902-3422 | 2020-02-10 |
| 1366900235 | Sarah Herdeman | Dermatology | 173 Saint Patricks Dr Ste 201, Waldorf, MD 20603-5531 | 2019-03-08 |
| 1710450408 | Givonshy Smith | Dermatology | 10478 Campus Way S # 185, Upper Marlboro, MD 20774-1304 | 2019-01-06 |
| 1679040208 | Ebony Nelson | Dermatology | 6031 Liberty Rd, Gwynn Oak, MD 21207-6206 | 2018-11-01 |
| 1184129975 | Swetcha Lankapalli | Dermatology | 45 Thomas Johnson Dr Ste 209, Frederick, MD 21702-4490 | 2018-03-26 |
| 1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
| 1598111254 | Alyssa Klein | Dermatology | 1447 York Rd Ste 301, Lutherville Timonium, MD 21093-6022 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.