WEST VIRGINIA UNIVERSITY (NPI# 1134331812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134331812 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA UNIVERSITY |
| Practice Address |
1 Medical Center Dr Wvu Health Sciences Center Morgantown WV 26506-9247 |
| Practice Telephone | 3042931369 |
| Practice Fax Number | 3042932713 |
| Mailing Telephone | 3042931369 |
| Mailing Fax Number | 3042932713 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROY GREGORY JUCKETT (ASSOC. PROFESSOR OF FAMILY MEDICINE) |
| Authorized Official Telephone | 3042931369 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
13865 | WV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477742708 | West Virginia University | Audiologist | 355 Oakland St., 805 Allen Hall, Morgantown, WV 26506-6122 | 2007-10-23 |
| 1952483422 | West Virginia University | Psychologist | 53 Campus Drive, Life Sciences Building, Morgantown, WV 26506-6040 | 2006-10-20 |
| 1801283874 | West Virginia University | Dentist | 1 Medical Center Drive, Oral Surgery Department, Morgantown, WV 26506 | 2015-04-17 |
| 1912104084 | West Virginia University | Chronic Disease Hospital | 101 Stadium Dr, Morgantown, Wv 26507-0897, Morgantown, WV 26506-7911 | 2007-06-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WEST VIRGINIA UNIVERSITY | 103 Stewart Hall, Morgantown, WV 26506 |
| North Carolina Corporations | West Virginia University Alumni Association of Charlotte Chapter Inc. | 515 State Street, Charlotte, NC 28208 |
| System for Award Management (SAM) Entities | WEST VIRGINIA UNIVERSITY AT PARKERSBURG | 300 Campus Dr, Parkersburg, WV 26104-8647 |
| System for Award Management (SAM) Entities | WEST VIRGINIA UNIVERSITY DENTAL CORPORATION | 1 Medical Center Drive 1150 Hsc North, Morgantown, WV 26506-1200 |
| Oklahoma Business Registrations | WEST VIRGINIA UNIVERSITY FOUNDATION, INC. | One Waterfront Pl, 7th Fl, Morgantown, WV 26507-1650 |
| System for Award Management (SAM) Entities | WEST VIRGINIA UNIVERSITY INNOVATION CORPORATION | 886 Chestnut Ridge Rd, Morgantown, WV 26505 |
| Colorado Business Entities | West Virginia University Innovation Corporation | 886 Chestnut Ridge Road, Po Box 6216, Morgantown, WV 26506 |
| Street Address |
1 MEDICAL CENTER DR WVU HEALTH SCIENCES CENTER |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072062 | Marissa D Davis | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-27 |
| 1649879313 | Emily Keator Stallings | Advanced Practice Midwife | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-22 |
| 1003414400 | Eric Allen | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-16 |
| 1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
| 1023625357 | Diane Lynn Casdorph | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-30 |
| 1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
| 1740893056 | Catherine Kelly | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-26 |
| 1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1265044010 | Melissa J Rinehart | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1700497054 | Chelsea J Thomas | Speech-Language Pathologist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437361326 | Wvu Student Health Service | Clinic/Center | 1 Medical Center Drive, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9247 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986408 | Caroline Gormley | Clinic/Center | 400 Lee St N, Lewisburg, WV 24901-1274 | 2020-03-10 |
| 1598868143 | Monongahela Valley Association of Health Centers Inc | Clinic/Center | 1 N Marion Dr, Farmington, WV 26571-9717 | 2006-09-07 |
| 1518060581 | Monongahela Valley Association of Health Centers Inc | Clinic/Center | 1993 Airport Rd, Fairmont, WV 26554-9138 | 2006-09-06 |
| 1154675460 | Davis & Elkins College | Clinic/Center | 100 Campus Dr, Athletics, Elkins, WV 26241-3971 | 2012-11-08 |
| 1982979548 | Glenville State University | Clinic/Center | 200 High St, Glenville, WV 26351-1200 | 2012-03-15 |
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on WEST VIRGINIA UNIVERSITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.