CHARLESTON MEDICAL CENTER, INC. – NPI #1174479513
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

CHARLESTON MEDICAL CENTER, INC. is an otolaryngologist located in FAYETTEVILLE, WV. NPPES recently assigned the NPI number 1174479513 to CHARLESTON MEDICAL CENTER, INC. on March 09, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLESTON MEDICAL CENTER, INC. below.

NPI Profile for
CHARLESTON MEDICAL CENTER, INC.

NPI Number
1174479513
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLESTON MEDICAL CENTER, INC.
Primary location
211 W MAPLE AVE
FAYETTEVILLE, WV 25840-1445
Phone: (304) 900-5511 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GINGER PETERS
PAYER ENROLLMENT REPRESENTATIVE
Phone: (304) 388-0112
Updated
Certification Date
Mar 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)
231H00000X
- Audiologist
208600000X
- Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.