MOUNTAIN STATE ORTHOPEDICS & SPORTS MEDICINE
NPI 1285821561
Neuromusculoskeletal Medicine, Sports Medicine in Summersville, WV

Q: What is Mountain State Orthopedics & Sports Medicine's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Active since October 01, 2007

400 FAIRVIEW HEIGHTS RD, STE. 301, SUMMERSVILLE, WV 26651(304) 880-7988(304) 880-7987 Get Directions Write a Review

NPPES record last updated: December 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mountain State Orthopedics & Sports Medicine NPPES

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

MOUNTAIN STATE ORTHOPEDICS & SPORTS MEDICINE (NPI 1285821561) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Summersville, West Virginia and active in the NPI registry since October 2007. The organization lists William R. Carson, President, as its authorized official.

NPPES Registry Identity

NPI1285821561

Entity TypeOrganization

Primary Taxonomy204C00000X

Legal Business NameMOUNTAIN STATE ORTHOPEDICS & SPORTS MEDICINE

Location Address400 FAIRVIEW HEIGHTS RD, STE. 301Summersville, WV 26651-9308

Mailing AddressPo Box 927Summersville, WV 26651-0927 · (304) 880-7988 · Fax (304) 880-7987

Phone(304) 880-7988

Fax(304) 880-7987

Organization SubpartNo

Authorized OfficialWilliam R. CarsonPresident · (304) 880-7988

Enumeration DateOctober 1, 2007

Last NPPES UpdateDecember 29, 2008

✔ NPI 1285821561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in WV · WV18114

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

400 FAIRVIEW HEIGHTS RD, Summersville, WV 26651

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Other Identifiers 5

Medicaid0098219000WV

Medicare NSC1179860001WV

Other200025785WV · Railroad Medicare

Other9286011WV · Medicare Provider Number

Medicare UPING07157WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

AMIT KAUSHAL M.D

Internal Medicine

400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-8601

BANDY B MULLINS MD

Surgery

400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-8404

WEST VIRGINIA HEALTH CARE COOPERATIVE INC

General Acute Care Hospital (Critical Access)

400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-8402

SUMMERSVILLE REGIONAL MEDICAL CENTER

General Acute Care Hospital (Critical Access)

400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-2891

NICHOLAS EMERGENCY GROUP, PLLC

Emergency Medicine

400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-2891

SUMMERSVILLE PEDIATRICS INC.

Specialist

400 FAIRVIEW HEIGHTS RD, SUITE 302
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-7063

DR. RACHEL DAVIS PHARMD

Pharmacist

400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-8437

SUMMERSVILLE REGIONAL MEDICAL CENTER

Nursing Facility/Intermediate Care Facility

400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-2891

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 Orthopedics & Sports Medicine's NPI number?

The NPI number for Mountain State Orthopedics & Sports Medicine is 1285821561. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Mountain State Orthopedics & Sports Medicine located?

Mountain State Orthopedics & Sports Medicine is located at 400 Fairview Heights Rd Ste. 301, Summersville, WV 26651. The listed phone number is (304) 880-7988.

What is Mountain State Orthopedics & Sports Medicine's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Mountain State Orthopedics & Sports Medicine was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.