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

West Virginia University Medical Corporation

Organization Otolaryngology Physician · NPI 1679321368

West Virginia University Medical Corporation is an Otolaryngology Physician in Morgantown, West Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1065 Suncrest Town Centre Dr
Morgantown, WV 26505-1875
Phone: (045) 984-8003
Fax: (045) 997-3293
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1679321368
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWest Virginia University Medical Corporation
Authorized official Justin Gibson — Vp, Finance · (304) 598-4256
NPI enumeratedMay 8, 2024
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing addressPo Box 780, Morgantown, WV 26507-0780

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