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Organization

WEST VIRGINIA UNIVERSITY 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
2000 FOUNDATION WAY STE 1200, MARTINSBURG, WV 25401-9030
(304) 350-3273
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 350-3273

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
10/14/2025
Last updated
10/14/2025
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