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MOUNTAINEER SURGICAL ASSOCIATES PLLC NPI 1457662579


NPI Information

NPI: 1457662579
Provider Name: MOUNTAINEER SURGICAL ASSOCIATES PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
331 LAIDLEY ST
SUITE 201
CHARLESTON, WV
ZIP 25301
Phone: (304) 205-7912
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MOUNTAINEER SURGICAL ASSOCIATES PLLC is a surgery in Charleston, WV. The provider is 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. MOUNTAINEER SURGICAL ASSOCIATES PLLC NPI is 1457662579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

331 LAIDLEY ST
SUITE 201
CHARLESTON, WV
ZIP 25301-619
Phone: (304) 205-7912
Fax: (304) 205-4694

The provider's authorized official is Luke Weldon Martin .
The authorized official title is Managing Member and has the following contact phone number (304) 205-7912.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 6/20/2018.


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
1208600000XSurgery22900WEST VIRGINIAYes

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
11457662579OTHERWEST VIRGINIAUNITED HEALTHCARE
2615411900OTHERDEPARTMENT OF LABOR
3DQ8194OTHERWEST VIRGINIARAILROAD MEDICARE
41104023795OTHERWEST VIRGINIA4-MOST
51457662579OTHERWELLS FARGO (PEIA)
6233279270OTHEROHIO BUREAU OF WORKERS' COMPENSATION
7233279270OTHERWEST VIRGINIAMSBCBS
8=========OTHERTRICARE NORTH
91104023795OTHERWEST VIRGINIACARELINK
101457662579OTHERWEST VIRGINIAUMWA HEALTH AND RETIREMENT FUNDS
116336732OTHERWEST VIRGINIACIGNA
123810018433MEDICAIDWEST VIRGINIA

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: 4/28/2024

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