OrganizationActive
West Virginia University Medical Corporation
NPI 1679321368 · Otolaryngology Physician · Morgantown, WV
Provider details
- NPI number
- 1679321368
- Entity type
- Organization
- Primary specialty
- Otolaryngology 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
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1065 Suncrest Town Centre Dr
Morgantown, WV 26505-1875
Phone: (045) 984-8003
Fax: (045) 997-3293
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2024-05-08
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.