Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountaineer Surgical Associates PLLC

Organization Surgery Physician · NPI 1457662579

Mountaineer Surgical Associates PLLC provides Surgery Physician services in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2010.

Licensed in
WV
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

331 Laidley St Ste 201
Charleston, WV 25301-1619
Phone: (304) 205-7912
Fax: (304) 205-4694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 22900 (WV)

Record details

NPI number1457662579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luke Martin — Managing Member · (304) 205-7912
NPI enumeratedJune 23, 2010
Last updated in NPPESJune 20, 2018
Mailing addressPo Box 11210, Charleston, WV 25339-1210

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