OrganizationActive
West Virginia Univesity Medical Corporation
NPI 1801771365 · Hematology & Oncology Physician · Fairmont, WV
Provider details
- NPI number
- 1801771365
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wvu Medical Corporation
- Organization subpart
- Yes
- Authorized official
- Justin Gibson, Vp of Finance(304) 598-4256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hematology (Internal Medicine) Physician207RH0000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Oncology Physician207RX0202X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1325 Locust Ave Fl 3c
Fairmont, WV 26554-1435
Phone: (304) 534-7810
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.