OrganizationActive
West Virginia University Medical Corporation
NPI 1881442473 · Nephrology Physician · Martinsburg, WV
Provider details
- NPI number
- 1881442473
- Entity type
- Organization
- Primary specialty
- Nephrology 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
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1002 Sushruta Dr
Martinsburg, WV 25401-8876
Phone: (304) 263-0913
Fax: (304) 267-2917
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2024-05-08
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.