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WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
NPI 1346098837
Emergency Medicine in Charles Town, WV

Active since May 09, 2024CLIA 51D2047840 · Waiver
912 SOMERSET BLVD STE 102, CHARLES TOWN, WV 25414(304) 725-2273(304) 725-9842 Get Directions Write a Review

NPPES record last updated: May 9, 2024. 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 1346098837) is a healthcare organization registered as an emergency medicine in Charles Town, West Virginia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Justin Gibson, Vp, Finance, as its authorized official.

NPPES Registry Identity

NPI1346098837
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Location Address912 SOMERSET BLVD STE 102Charles Town, WV 25414-3954
Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 285-7101 · Fax (304) 293-6963
Phone(304) 725-2273
Fax(304) 725-9842
Organization SubpartYes
Authorized OfficialJustin GibsonVp, Finance · (304) 598-4256
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1346098837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
912 SOMERSET BLVD STE 102, Charles Town, WV 25414
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2047840

West Virginia University Medical Corporation Dba University Health Associates · Charles Town, WV
Active · expires Aug 31, 2027
CLIA Number51D2047840
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. Afsoun M. Sichani
Laboratory Phone(304) 725-2273
Laboratory LocationWest Virginia University Medical Corporation Dba University Health Associates912 Somerset Blvd Suite 102, Charles Town, WV 25414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ALEXIS ALASTANOS
Nurse Practitioner
912 SOMERSET BLVD STE 102
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2273
KALIKA MILLER PITCHER PA-C
Physician Assistant
912 SOMERSET BLVD STE 102
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2273
MICHAEL B MATELA MD
Family Medicine
912 SOMERSET BLVD STE 102
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2273

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 1346098837. It was assigned to this organization in the NPPES registry on May 9, 2024.

Where is West Virginia University Medical Corporation located?

West Virginia University Medical Corporation is located at 912 Somerset Blvd Ste 102, Charles Town, WV 25414. The listed phone number is (304) 725-2273.

What is West Virginia University Medical Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does West Virginia University Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2047840) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Virginia University Medical Corporation was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.