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MICHAEL M BOUSTANY MD INC
NPI 1326044710
Surgery - Vascular Surgery in Charleston, WV

Active since June 22, 2005
415 MORRIS ST, STE 105, CHARLESTON, WV 25301(304) 343-7557(304) 343-3441 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Michael M Boustany Md Inc NPPES

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

MICHAEL M BOUSTANY MD INC (NPI 1326044710) is a healthcare organization registered as a vascular surgery in Charleston, West Virginia and active in the NPI registry since June 2005. The organization lists Michael M Boustany, Owner, as its authorized official.

NPPES Registry Identity

NPI1326044710
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMICHAEL M BOUSTANY MD INC
Location Address415 MORRIS ST, STE 105Charleston, WV 25301-1840
Mailing AddressPo Box 3850Charleston, WV 25338-3850 · (304) 233-9314 · Fax (304) 233-0265
Phone(304) 343-7557
Fax(304) 343-3441
Organization SubpartNo
Authorized OfficialMichael M BoustanyOwner · (304) 343-7557
Enumeration DateJune 22, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1326044710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in WV · 10600
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 10600 (WV)
415 MORRIS ST, Charleston, WV 25301
Open in Google Maps ↗

Other Identifiers 2

Medicaid2065901OH
Medicaid6953086900KY

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 MULTIPLE 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.

DR. ROBERT JOSEPH CROW JR. M.D.
Neurological Surgery
415 MORRIS ST, SUITE 400
CHARLESTON, WV 25301
Kanawha County (304) 344-3551
NICHOLAS CASSIS JR. M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 MORRIS ST, SUITE 300
CHARLESTON, WV 25301
Kanawha County (304) 345-6303
DAWN MARIE FIELDS FNP-BC
Nurse Practitioner
415 MORRIS ST, SUITE 300
CHARLESTON, WV 25301
Kanawha County (304) 388-6441
WARREN DOUGLAS REYNOLDS PA-C
Physician Assistant (Surgical)
415 MORRIS ST, SUITE 201
CHARLESTON, WV 25301
Kanawha County (304) 388-7700
DR. SHADI J ABU-HALIMAH MD
Surgery (Vascular Surgery)
415 MORRIS ST, SUITE 105
CHARLESTON, WV 25301
Kanawha County (304) 388-6412
SIDNEY C. LERFALD, MD
Specialist
415 MORRIS ST, SUITE 306
CHARLESTON, WV 25301
Kanawha County (304) 343-1022
INTEGRATED HEALTH CARE PROVIDERS, INC.
Psychiatry & Neurology (Neurology)
415 MORRIS ST, SUITE 100
CHARLESTON, WV 25301
Kanawha County (304) 388-6620
INTEGRATED HEALTH CARE PROVIDERS, INC.
Orthopaedic Surgery
415 MORRIS ST, SUITE 104
CHARLESTON, WV 25301
Kanawha County (304) 343-4691

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 Michael M Boustany MD Inc's NPI number?

The NPI number for Michael M Boustany MD Inc is 1326044710. It was assigned to this organization in the NPPES registry on June 22, 2005.

Where is Michael M Boustany MD Inc located?

Michael M Boustany MD Inc is located at 415 Morris St Ste 105, Charleston, WV 25301. The listed phone number is (304) 343-7557.

What is Michael M Boustany MD Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Michael M Boustany MD Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.