NPIMap

Organization Active NPI

West Virginia University Medical Corporation Charleston Division

Doing business as WVUPC Internal Medicine (PAASGRP)

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1194932590
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3200990000 Issued in WV
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION
Doing business as
WVUPC Internal Medicine (PAASGRP)
Practice address
Wvu F 3200 Maccorkle Ave SE Clin D
Charleston, WV 25304-0000
Phone
(304) 293-5033
Fax
(304) 293-6963
NPI assigned
May 16, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry Miller
Title
Provider Relations Analyst
Phone
(304) 293-7401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3200990000 WV Primary

Addresses

Primary practice location

Wvu F 3200 Maccorkle Ave SE Clin D
Charleston, WV 25304-0000

Mailing address

P O Box 7000
Morgantown, WV 26507-7000
Phone (304) 293-5033

Other names 1

  • WVUPC Internal Medicine (PAASGRP) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Virginia University Physicians of Charleston Oakhurst Drive21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

3200 Maccorkle Ave SE
#D
Charleston, WV 25304

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1194932590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 7000",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265077000",
            "telephone_number": "304-293-5033",
            "fax_number": "304-293-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WVU F 3200 MACCORKLE AVE SE CLIN D",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253040000",
            "telephone_number": "304-293-5033",
            "fax_number": "304-293-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PROVIDER RELATIONS ANALYST",
        "authorized_official_telephone_number": "304-293-7401"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "3200990000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WVUPC Internal Medicine (PAASGRP)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.