MOUNTAIN STATE VASCULAR, INC.
NPI 1104318625
Surgery - Vascular Surgery in Beckley, WV

Q: What is Mountain State Vascular, Inc.'s NPI number?

The NPI number for Mountain State Vascular, Inc. is 1104318625. It was assigned to this organization in the NPPES registry on May 31, 2018.

Q: What is Mountain State Vascular, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since May 31, 2018

121 GEORGE STREET, BECKLEY, WV 25801(304) 250-0382 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mountain State Vascular, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN STATE VASCULAR, INC. (NPI 1104318625) is a healthcare organization registered as a vascular surgery in Beckley, West Virginia and active in the NPI registry since May 2018. The organization lists Brian Roland Whyte, Owner, as its authorized official.

NPPES Registry Identity

NPI1104318625

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameMOUNTAIN STATE VASCULAR, INC.

Location Address121 GEORGE STREETBeckley, WV 25801

Mailing AddressPo Box 1267Lewisburg, WV 24901-4267 · (304) 890-9910

Phone(304) 250-0382

Organization SubpartNo

Authorized OfficialBrian Roland WhyteOwner · (304) 250-0382

Enumeration DateMay 31, 2018

Last NPPES UpdateMay 22, 2024

NPPES CertifiedMay 22, 2024

✔ NPI 1104318625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in WV · 22852

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

121 GEORGE STREET, Beckley, WV 25801

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Other Identifiers 2

Other1795WV · Wv Board Of Medicine Registration

Other9ALVRWV · State Of Wv Certificate

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain State Vascular, Inc.'s NPI number?

The NPI number for Mountain State Vascular, Inc. is 1104318625. It was assigned to this organization in the NPPES registry on May 31, 2018.

Where is Mountain State Vascular, Inc. located?

Mountain State Vascular, Inc. is located at 121 George Street, Beckley, WV 25801. The listed phone number is (304) 250-0382.

What is Mountain State Vascular, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does Mountain State Vascular, Inc. accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Mountain State Vascular, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain State Vascular, Inc. was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.