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Organization

WVU MEDICAL CORPORATION

Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
JUSTIN GIBSON (VP OF FINANCE)
(304) 598-4256
Entity
Organization

Contact information

Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
152WP0200X
Pediatric Optometrist
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207W00000X
Ophthalmology Physician
207WX0107X
Retina Specialist (Ophthalmology) Physician
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
2084N0400X
Neurology Physician
Primary
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2084V0102X
Vascular Neurology Physician
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/26/2025
Last updated
10/17/2025
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