MOUNTAIN STATE VASCULAR, INC. – NPI #1104318625
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
MOUNTAIN STATE VASCULAR, INC. is a surgeon located in BECKLEY, WV. NPPES has assigned the NPI number 1104318625 to MOUNTAIN STATE VASCULAR, INC. on May 31, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 2 years ago on May 22, 2024. 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 MOUNTAIN STATE VASCULAR, INC. below.
NPI Profile for
MOUNTAIN STATE VASCULAR, INC.
(more than 8 years ago)
BECKLEY, WV 25801 Phone: (304) 250-0382 Fax:
2 Other location(s):
Beckley, WV 25801-2608
Phone: (304) 250-0382
Ronceverte, WV 24970-8366
Phone: (304) 520-4966
LEWISBURG, WV 24901-4267 Phone: (304) 890-9910 Fax:
OWNER
Phone: (304) 250-0382
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.
Identifiers for MOUNTAIN STATE VASCULAR, INC.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | STATE OF WV CERTIFICATE | WV | 9ALVR |
| other | WV BOARD OF MEDICINE REGISTRATION | WV | 1795 |
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 |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
WV | 22852 |
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.