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

West Virginia University Medical Corporation

Organization Family Medicine Physician · NPI 1164270492

West Virginia University Medical Corporation is a Family Medicine Physician in Ranson, West Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

115 E 3rd Ave
Ranson, WV 25438-1640
Phone: (304) 535-6343
Fax: (304) 535-6618
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1164270492
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWest Virginia University Medical Corporation
Authorized official Justin Gibson — Vp, Finance · (304) 598-4256
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing addressPo Box 780, Morgantown, WV 26507-0780

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