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

West Virginia Univesity Medical Corporation

Organization Hematology (Internal Medicine) Physician · NPI 1801771365

West Virginia Univesity Medical Corporation is a Hematology (Internal Medicine) Physician in Fairmont, West Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5

Practice location Address checks out

1325 Locust Ave Fl 3C
Fairmont, WV 26554-1435
Phone: (304) 534-7810
Show map & directions

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X
Medical Oncology Physician Taxonomy 207RX0202X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1801771365
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWVU Medical Corporation
Authorized official Justin Gibson — Vp Of Finance · (304) 598-4256
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing addressPo Box 780, Morgantown, WV 26507-0780