National Provider Identifier Database

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
13079 GARRETT HWY
OAKLAND, MD21550-1163
Phone: 844-424-0411
Fax: 844-424-0414
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Advanced Heart Failure & Transplant Cardiology 207RA0001X
Clinical Cardiac Electrophysiology 207RC0001X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

NPI Number 1548018062
Legal business name
LBN
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official JUSTIN GIBSON - (VP, FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 05/09/2024
Last updated 04/08/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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