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

Active since October 29, 2025
912 SOMERSET BLVD, CHARLES TOWN, WV 25414(304) 598-4830 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Virginia University Medical Corporation NPPES

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

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI 1104794239) is a healthcare organization registered as an orthopaedic surgery in Charles Town, West Virginia and active in the NPI registry since October 2025. The organization lists Justin Gibson, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1104794239
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameWEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Location Address912 SOMERSET BLVDCharles Town, WV 25414-3953
Mailing AddressPo Box 780Morgantown, WV 26507-0780
Organization SubpartYes
Authorized OfficialJustin GibsonVp Of Finance · (304) 598-4256
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
NPI 1104794239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
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.
Also ListedPhysician AssistantTaxonomy 363A00000X
912 SOMERSET BLVD, Charles Town, WV 25414

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 West Virginia University Medical Corporation's NPI number?

The NPI number for West Virginia University Medical Corporation is 1104794239. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is West Virginia University Medical Corporation located?

West Virginia University Medical Corporation is located at 912 Somerset Blvd, Charles Town, WV 25414. The listed phone number is (304) 598-4830.

What is West Virginia University Medical Corporation's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for West Virginia University Medical Corporation was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.