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

Mountain State Orthopedics and Sports Medicine

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1831841675

Mountain State Orthopedics and Sports Medicine is a Sports Medicine (Orthopaedic Surgery) Physician in Summersville, West Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4089W Webster Rd
Summersville, WV 26651-9682
Phone: (304) 900-2589
Fax: (800) 397-1586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1831841675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Carson — President · (304) 900-2589
NPI enumeratedJanuary 24, 2022
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address4089 Webster Rd, Summersville, WV 26651-7200

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