MOUNTAIN STATE VASCULAR, INC.
NPI 1104318625
Surgery - Vascular Surgery in Beckley, WV
- Organization
- Surgery
- Vascular Surgery
- Accepts Insurance
About MOUNTAIN STATE VASCULAR, INC.
This page provides the complete NPI Profile along with additional information for Mountain State Vascular, Inc., a provider established in Beckley, West Virginia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1104318625 assigned on May 2018. The practitioner's primary taxonomy code is 2086S0129X with license number 22852 (WV). The provider is registered as an organization and their NPI record was last updated 2 years ago. Mountain State Vascular, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Brian Roland Whyte Md (Owner)
- NPI
- 1104318625 Verify this NPI
- Provider Name
- MOUNTAIN STATE VASCULAR, INC.
- Entity Type
- Organization
- Location Address
- 121 GEORGE STREET BECKLEY, WV 25801
- Location Phone
- (304) 250-0382
- Mailing Address
- PO BOX 1267 LEWISBURG, WV 24901
- Mailing Phone
- (304) 890-9910
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2018
- Last Update Date
- 05-22-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22852
- License State
- WV
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1795 | OTHER (01) | WV | WV BOARD OF MEDICINE REGISTRATION |
| 9ALVR | OTHER (01) | WV | STATE OF WV CERTIFICATE |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104318625, enumerated as an "organization" on May 31, 2018.
The provider is located at 121 GEORGE STREET BECKLEY, WV 25801 and the phone number is (304) 250-0382.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia,. Please consult your insurance carrier or call the provider to verify.
