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
2000 FOUNDATION WAY STE 1200
MARTINSBURG, WV25401-9030
Phone: 304-350-3273
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Clinical Cardiac Electrophysiology 207RC0001X
Family 363LF0000X
Interventional Cardiology 207RI0011X
Physician Assistant 363A00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

NPI Number 1740156025
Legal business name
LBN
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official JUSTIN GIBSON - (VP OF FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 10/14/2025
Last updated 10/14/2025 - About 8 months 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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