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

Mountaineer Surgical Associates PLLC

Organization Surgery Physician · NPI 1457662579

Mountaineer Surgical Associates PLLC is a Surgery Physician in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2010.

Licensed in
WV
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

331 Laidley St Ste 201
Charleston, WV 25301-1619
Phone: (304) 205-7912
Fax: (304) 205-4694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 22900 (WV)

Record details

NPI number1457662579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luke Martin — Managing Member · (304) 205-7912
NPI enumeratedJune 23, 2010
Last updated in NPPESJune 20, 2018
Mailing addressPo Box 11210, Charleston, WV 25339-1210

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