OrganizationActive
West Virginia University Medical Corporation
NPI 1255189502 · Clinical Pathology/Laboratory Medicine Physician · Oakland, MD
Provider details
- NPI number
- 1255189502
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- West Virginia University Medical Corporation
- Organization subpart
- Yes
- Authorized official
- Justin Gibson, Vp, Finance(304) 598-4256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
- Clinical Pathology Physician207ZC0006X
Allopathic & Osteopathic Physicians
- Dermatopathology (Pathology) Physician207ZD0900X
Allopathic & Osteopathic Physicians
- Hematology (Pathology) Physician207ZH0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
251 N 4th St
Oakland, MD 21550-1375
Phone: (301) 533-4000
Fax: (304) 895-8752
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2024-05-10
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.