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CHARLESTON MEDICAL CENTER, INC.
NPI 1174479513
Otolaryngology in Fayetteville, WV

Active since March 09, 2026
211 W MAPLE AVE, FAYETTEVILLE, WV 25840(304) 900-5511 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charleston Medical Center, Inc. NPPES

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

CHARLESTON MEDICAL CENTER, INC. (NPI 1174479513) is a healthcare organization registered as an otolaryngology in Fayetteville, West Virginia and active in the NPI registry since March 2026. The organization lists Ginger Peters, Payer Enrollment Representative, as its authorized official.

NPPES Registry Identity

NPI1174479513
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCHARLESTON MEDICAL CENTER, INC.
Location Address211 W MAPLE AVEFayetteville, WV 25840-1445
Mailing Address211 W Maple AveFayetteville, WV 25840-1445 · (304) 900-5511
Phone(304) 900-5511
Organization SubpartNo
Authorized OfficialGinger PetersPayer Enrollment Representative · (304) 388-0112
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1174479513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSurgeryTaxonomy 208600000X
Also ListedAudiologistTaxonomy 231H00000X
211 W MAPLE AVE, Fayetteville, WV 25840
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Other Names 1

Other NameCamc Pmc Specialty Clinics

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.

ANDREW HUNTER PETERSEN DO
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
211 W MAPLE AVE
FAYETTEVILLE, WV 25840
Fayette County (304) 900-5511
RACHAEL LYNN KASS AUD
Audiologist
211 W MAPLE AVE
FAYETTEVILLE, WV 25840
Fayette County (304) 900-5511
VITALITY AESTHETICS AND WELLNESS, LLC
Clinic/Center (Primary Care)
211 W MAPLE AVE
FAYETTEVILLE, WV 25840
Fayette County (304) 574-9876
MRS. ANGELA RENEE GOFF FNP-BC
Nurse Practitioner (Family)
211 W MAPLE AVE
FAYETTEVILLE, WV 25840
Fayette County (304) 900-5511

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 Charleston Medical Center, Inc.'s NPI number?

The NPI number for Charleston Medical Center, Inc. is 1174479513. It was assigned to this organization in the NPPES registry on March 9, 2026. The provider is also known as CAMC PMC Specialty Clinics.

Where is Charleston Medical Center, Inc. located?

Charleston Medical Center, Inc. is located at 211 W Maple Ave, Fayetteville, WV 25840. The listed phone number is (304) 900-5511.

What is Charleston Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Charleston Medical Center, Inc. was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.