Organization · Type 2 NPI

West Virginia University Medical Corporation

Orthopaedic Surgery Physician · Charles Town, WV

NPI number 1104794239 Active

Practice location

912 Somerset Blvd
Charles Town, WV 25414-3953

Mailing address

PO Box 780
Morgantown, WV 26507-0780

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed
Pediatric Orthopaedic Surgery Physician 207XP3100XNone listed
Physician Assistant 363A00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1104794239

West Virginia University Medical Corporation's National Provider Identifier is 1104794239, issued on Oct 29, 2025. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Charles Town, WV. The record was last updated on Oct 29, 2025.