Charleston Medical Center, Inc.
NPI 1174479513 · Otolaryngology Physician · Fayetteville, WV
Charleston Medical Center, Inc. is a Otolaryngology Physician organization in Fayetteville, WV (NPI 1174479513).
Provider details
- NPI number
- 1174479513
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ginger Peters, Payer Enrollment Representative(304) 388-0112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Camc Pmc Specialty Clinics
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Frequently asked questions
- What is Charleston Medical Center, Inc.'s NPI number?
- Charleston Medical Center, Inc.'s National Provider Identifier (NPI) is 1174479513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charleston Medical Center, Inc.?
- Charleston Medical Center, Inc. is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Charleston Medical Center, Inc. located?
- Charleston Medical Center, Inc.'s practice location on file with NPPES is 211 W Maple Ave, Fayetteville, WV 25840-1445.
- What is Charleston Medical Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Charleston Medical Center, Inc. is (304) 900-5511.
- Who is the authorized official for Charleston Medical Center, Inc.?
- The authorized official listed on Charleston Medical Center, Inc.'s NPPES record is Ginger Peters, Payer Enrollment Representative. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charleston Medical Center, Inc.'s NPI active?
- Yes — Charleston Medical Center, Inc.'s NPI (1174479513) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.