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

West Virginia University Medical Corporation

Organization Orthopaedic Surgery Physician · NPI 1104794239

West Virginia University Medical Corporation is an Orthopaedic Surgery Physician in Charles Town, West Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

912 Somerset Blvd
Charles Town, WV 25414-3953
Phone: (304) 598-4830
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1104794239
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWest Virginia University Medical Corporation
Authorized official Justin Gibson — Vp Of Finance · (304) 598-4256
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing addressPo Box 780, Morgantown, WV 26507-0780

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