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

Whitehall Medical PLLC

Organization General Practice Physician · NPI 1659432631

Whitehall Medical PLLC is a General Practice Physician in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
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

177 Middletown Rd Ste 1
Fairmont, WV 26554-8216
Phone: (304) 363-6600
Fax: (304) 363-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 1552 (WV)

Record details

NPI number1659432631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Vasicek — Member Owner · (304) 363-6600
NPI enumeratedDecember 13, 2006
Last updated in NPPESMay 3, 2012
Mailing address177 Middletown Rd, Suite 1, Fairmont, WV 26554-8216

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