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WEST VIRGINIA VASCULAR INSTITUTE PLLC NPI 1942251848


NPI Information

NPI: 1942251848
Provider Name: WEST VIRGINIA VASCULAR INSTITUTE PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
250 STANAFORD RD
STE203
BECKLEY, WV
ZIP 25801
Phone: (304) 255-3601
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WEST VIRGINIA VASCULAR INSTITUTE PLLC is a vascular surgery surgery in Beckley, WV. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WEST VIRGINIA VASCULAR INSTITUTE PLLC NPI is 1942251848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

250 STANAFORD RD
STE203
BECKLEY, WV
ZIP 25801-140
Phone: (304) 255-3601

The provider's authorized official is Herbert Pe Oye .
The authorized official title is President and has the following contact phone number (304) 255-3601.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 6/24/2008.


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
1174400000XSpecialistNo
22086S0129XSurgeryVascular SurgeryWV1595WEST 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
10005093623OTHERAETNA
2DD3621OTHERWEST VIRGINIARR MCARE
39353651MEDICARE PINWEST VIRGINIA
4G20061MEDICARE UPINWEST VIRGINIA
53810001964MEDICAIDWEST VIRGINIA
6001726273OTHERWEST VIRGINIABCBS

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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