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

Justin Havens

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891282927

Justin Havens is a General Surgery in Beckley, West Virginia. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2018, 8 years ago. Practices with Raleigh General Hospital LLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
8
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
WV
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1717 Harper Rd Fl 2
Beckley, WV 25801-3373
Phone: (681) 207-7563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5532 — (720) 874-2406

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4157 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891282927
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2018
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2018 (8 years in practice)
Group practice Raleigh General Hospital Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beckley