Mountaineer Surgical Associates Pllc

LBN: Mountaineer Surgical Associates Pllc
Mountaineer Surgical Associates Pllc is an health care organization with primary practice located at 331 Laidley St Suite 201, Charleston WV 25301-1619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mountaineer Surgical Associates Pllc can be contacted via phone (304) 205-7912, or through Martin, Luke Weldon via phone (304) 205-7912.

Contact Information

Primary practice address
331 Laidley St Suite 201 Charleston WV 25301-1619
Phone: (304) 205-7912
Fax: (304) 205-4694
Website:
Map and Directions
Authorized official contact:
Name: Martin, Luke Weldon Doctor of Medicine (MD)
Phone: (304) 205-7912

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22900 West Virginia

Profile Details

NPI number 1457662579
LBN Legal business name Mountaineer Surgical Associates Pllc
DBA Doing business as
Authorized official Martin, Luke Weldon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2010
Last updated Jun 20th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457662579 NPPES
Other 1457662579 WELLS FARGO (PEIA)
Other 233279270 WELLS FARGO (PEIA)
Other 1104023795 WELLS FARGO (PEIA)
Other 615411900 WELLS FARGO (PEIA)
Other 1457662579 WELLS FARGO (PEIA)
Other 233279270 WELLS FARGO (PEIA)
Other 6336732 WELLS FARGO (PEIA)
Other DQ8194 WELLS FARGO (PEIA)
Other 1104023795 WELLS FARGO (PEIA)
Other 1457662579 WELLS FARGO (PEIA)
MEDICAID 3810018433 WELLS FARGO (PEIA)

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