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CHRISTOPHER KELLY VINCENT M.D. PH.D. NPI 1275680266


NPI Information

NPI: 1275680266
Provider Name: CHRISTOPHER KELLY VINCENT, M.D. PH.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: CENTRA MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
510 BUTLER AVE
DEPARTMENT OF SURGERY
MARTINSBURG, WV
ZIP 25405
Phone: (304) 263-0811
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Christopher Kelly Vincent, M.D. PH.D. is a vascular surgery surgery in Martinsburg, WV with 37 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Christopher Kelly Vincent, M.D. PH.D. NPI is 1275680266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1987

The provider's business location address is:

510 BUTLER AVE
DEPARTMENT OF SURGERY
MARTINSBURG, WV
ZIP 25405-990
Phone: (304) 263-0811

The NPI 1275680266 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)0101238773VIRGINIANo
22086S0129XSurgeryVascular Surgery0101238773VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1013326C65MEDICARE PIN
2015566L84MEDICARE PINVIRGINIA
3010405670MEDICAIDVIRGINIA
4F30459MEDICARE UPIN
5P00453908OTHERVIRGINIAMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.