NPIMap

Organization Active NPI

West Virginia University Medical Corporation

  • Emergency Medicine Physician
  • Morgantown, WV
National Provider Identifier
1962655613
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Practice address
301 Suncrest Towne Centre Drive
Morgantown, WV 26505-1874
Phone
(304) 599-2473
Fax
(304) 285-7126
NPI assigned
Oct 28, 2008
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Brian King
Title
Director, Revenue Cycle Operations
Phone
(304) 285-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

301 Suncrest Towne Centre Drive
Morgantown, WV 26505-1874

Mailing address

PO Box 780
Morgantown, WV 26507-0780
Phone (304) 285-7100

Other practice location 1

451 Murtha Dr Ste 100
Waynesburg, PA 15370-7010
Phone (304) 599-2273

Other identifiers 1

IdentifierTypeStateIssuer
0011526000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Uha Camc Memorial Hospi204 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1962655613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070780",
            "telephone_number": "304-285-7100",
            "fax_number": "304-285-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SUNCREST TOWNE CENTRE DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051874",
            "telephone_number": "304-599-2473",
            "fax_number": "304-285-7126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Murtha Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waynesburg",
            "state": "PA",
            "postal_code": "153707010",
            "country_code": "US",
            "telephone_number": "304-599-2273",
            "fax_number": "304-974-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "304-285-7101"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011526000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.