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MOUNTAINEER SURGICAL ASSOCIATES PLLC
NPI 1457662579
Surgery in Charleston, WV

Active since June 23, 2010
331 LAIDLEY ST, SUITE 201, CHARLESTON, WV 25301(304) 205-7912(304) 205-4694 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountaineer Surgical Associates Pllc NPPES

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

MOUNTAINEER SURGICAL ASSOCIATES PLLC (NPI 1457662579) is a healthcare organization registered as a surgery in Charleston, West Virginia and active in the NPI registry since June 2010. The organization lists Luke Weldon Martin, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1457662579
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMOUNTAINEER SURGICAL ASSOCIATES PLLC
Location Address331 LAIDLEY ST, SUITE 201Charleston, WV 25301-1619
Mailing AddressPo Box 11210Charleston, WV 25339-1210 · (304) 205-7912 · Fax (304) 205-4694
Phone(304) 205-7912
Fax(304) 205-4694
Organization SubpartNo
Authorized OfficialLuke Weldon MartinManaging Member · (304) 205-7912
Enumeration DateJune 23, 2010
Last NPPES UpdateJune 20, 2018
✔ NPI 1457662579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 22900
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
331 LAIDLEY ST, Charleston, WV 25301
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Other Identifiers 11

Other1457662579WV · United Healthcare
Other615411900Department Of Labor
OtherDQ8194WV · Railroad Medicare
Other1104023795WV · 4-most
Other1457662579Wells Fargo (peia)
Other233279270Ohio Bureau Of Workers' Compensation
Other233279270WV · Msbcbs
Other1104023795WV · Carelink
Other1457662579WV · Umwa Health And Retirement Funds
Other6336732WV · Cigna
Medicaid3810018433WV

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.

CARDIAC IMAGING CENTER, PLLC.
Physiological Laboratory
331 LAIDLEY ST, SUITE 402
CHARLESTON, WV 25301
Kanawha County (304) 419-0395
FRANK J TRUPO MD
Specialist
331 LAIDLEY ST, SUITE 510
CHARLESTON, WV 25301
Kanawha County (304) 346-4444
CHARLESTON HEART CLINIC, INC.
Specialist
331 LAIDLEY ST, SUITE 406
CHARLESTON, WV 25301
Kanawha County (304) 344-0186
MILDRED C DURANT CRNA
Nurse Anesthetist, Certified Registered
331 LAIDLEY ST, SUITE 606
CHARLESTON, WV 25301
Kanawha County (304) 344-0096
CARRIE A LAKIN DPM INC
Podiatrist
331 LAIDLEY ST, SUITE 602
CHARLESTON, WV 25301
Kanawha County (304) 347-3668
ANTHONY P. DASARO, MD, PLLC
Internal Medicine
331 LAIDLEY ST, SUITE 307
CHARLESTON, WV 25301
Kanawha County (304) 205-7790
KRISTEN D SHAMBLIN FNP-BC
Nurse Practitioner (Family)
331 LAIDLEY ST
CHARLESTON, WV 25301
Kanawha County (304) 720-7234
CHARLESTON CARDIOVASCULAR
Internal Medicine (Cardiovascular Disease)
331 LAIDLEY ST, SUITE 402
CHARLESTON, WV 25301
Kanawha County (304) 792-6275

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 Mountaineer Surgical Associates PLLC's NPI number?

The NPI number for Mountaineer Surgical Associates PLLC is 1457662579. It was assigned to this organization in the NPPES registry on June 23, 2010.

Where is Mountaineer Surgical Associates PLLC located?

Mountaineer Surgical Associates PLLC is located at 331 Laidley St Suite 201, Charleston, WV 25301. The listed phone number is (304) 205-7912.

What is Mountaineer Surgical Associates PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mountaineer Surgical Associates PLLC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.