Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charleston Medical Center, Inc

Organization Otolaryngology Physician · NPI 1174479513

Charleston Medical Center, Inc is an Otolaryngology Physician in Fayetteville, West Virginia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 W Maple Ave
Fayetteville, WV 25840-1445
Phone: (304) 900-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Surgery Physician Taxonomy 208600000X
Audiologist Taxonomy 231H00000X

Record details

NPI number1174479513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ginger Peters — Payer Enrollment Representative · (304) 388-0112
Other names Camc Pmc Specialty Clinics
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address211 W Maple Ave, Fayetteville, WV 25840-1445