WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
NPI 1104794239
Orthopaedic Surgery in Charles Town, WV

NPI Status: Active since October 29, 2025

Contact Information

912 SOMERSET BLVD
CHARLES TOWN, WV
ZIP 25414
Phone: (304) 598-4830

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  • Organization
  • Orthopaedic Surgery

About WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for West Virginia University Medical Corporation, a provider established in Charles Town, West Virginia operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1104794239 assigned on October 2025. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. West Virginia University Medical Corporation 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 Justin Gibson (Vp Of Finance)

NPI
1104794239
Provider Name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Entity Type
Organization
Location Address
912 SOMERSET BLVD CHARLES TOWN, WV 25414
Location Phone
(304) 598-4830
Mailing Address
PO BOX 780 MORGANTOWN, WV 26507
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-29-2025
Last Update Date
10-29-2025
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XP3100XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Pediatric Orthopaedic Surgery

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTIN GIBSON

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(304) 598-4256

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104794239, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 9 + 8 + 2 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104794239.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Urgent Care)
912 SOMERSET BLVD, STE 102
CHARLES TOWN, WV 25414
Physician Assistant
912 SOMERSET BLVD, SUITE 101
CHARLES TOWN, WV 25414
Nurse Practitioner (Family)
912 SOMERSET BLVD
CHARLES TOWN, WV 25414
Orthopaedic Surgery
912 SOMERSET BLVD, STE 101
CHARLES TOWN, WV 25414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104794239, enumerated as an "organization" on October 29, 2025.

The provider is located at 912 SOMERSET BLVD CHARLES TOWN, WV 25414 and the phone number is (304) 598-4830.

Orthopaedic Surgery with taxonomy code 207X00000X.