OrganizationActive
West Virginia University Medical Corporation
NPI 1821961715 · Vascular Surgery Physician · Keyser, WV
Provider details
- NPI number
- 1821961715
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- West Virginia University Medical Corporation
- Organization subpart
- Yes
- Authorized official
- Justin Gibson, Vp of Finance(304) 598-4256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
131 Staggs Lane
Keyser, WV 26726-7003
Phone: (304) 597-3545
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2025-09-26
- Last updated
- 2025-09-26
- Certified
- 2025-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.