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:
Authorized official contact:
Name: Martin, Luke Weldon Doctor of Medicine (MD)
Phone: (304) 205-7912
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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