| Charles Benson Hurst, MD | |
| 
					33001 Solon Rd, Solon, OH 44139-2839  | |
| (440) 349-2516 | |
| Not Available | 
| Full Name | Charles Benson Hurst | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 33001 Solon Rd, Solon, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538100615 | NPI | - | NPPES | 
| 942460636316 | Other | OH | CARESOURCE | 
| 0211149 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35027462H (Ohio) | Primary | 
| Entity Name | Emergency Professional Services, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Charles Benson Hurst, MD 37105 Miles Rd, Chagrin Falls, OH 44022-2338 Ph: () -  | Charles Benson Hurst, MD 33001 Solon Rd, Solon, OH 44139-2839 Ph: (440) 349-2516  | 
Robert Eberlein, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516  | |
Elizabeth Carpenter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33001 Solon Rd Ste 115, Solon, OH 44139 Phone: 440-349-4714 Fax: 440-349-2729  | |
Dr. Mitchell Warren Leventhal, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6630 Cummings Ct, Solon, OH 44139 Phone: 440-318-1333  | |
Susan Tout, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516  | |
Christopher Robert White, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516  | |
Leo Moysaenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516  |