# WEST VIRGINIA VASCULAR INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942251848
- **Authorized official:** HERBERT PE OYE DO (PRESIDENT)
- **Authorized official phone:** (304) 255-3601

## Contact information

- **Practice address:** 250 STANAFORD RD, STE203, BECKLEY, WV 25801-3140
- **Practice address phone:** (304) 255-3601
- **Mailing address:** PO BOX 86, DANIELS, WV 25832-0086
- **Mailing address phone:** (304) 255-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 2086S0129X | Vascular Surgery Physician | WV1595 | WV | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005093623 | AETNA | — |
| 01 | — | 001726273 | BCBS | WV |
| 05 | — | 3810001964 | — | WV |
| 01 | — | DD3621 | RR MCARE | WV |